Ultrasound guided thoracic paravertebral block

In this video, we discuss the anatomy, sonoanatomy, rationale and technique for ultrasound guided thoracic paravertebral blockade.

[@prestonooi]

That was an excellent video. Thank you for the clear and detailed explanation!

[@rambam111]

Special thank for that tip of out of plain approach - I feel like that, but do it only as a last resort. Happy to hear, that others do it and feel secure

[@nerveblock]

Phenomenal teaching Jeff.

[@felipemunoz44]

What a fantastic video. Thank you very much for sharing.

[@AkhilSingh1982]

Just brilliant! Hat tip to you, good sir!

[@gabrun5441]

Great video, very well explained. I enjoyed it very much.

[@dhandapani9870]

Thank you so much. You’re such a blessing

[@rishikumargautam3314]

Wonderfully illustrated

[@bsquochoainew]

Incredible video with easy to understand details

[@jakub379]

Excelent video. Thank you so much!

[@zakalobi80]

Great tips. Thanks

[@khaledhbenhusainbenhusain404]

excellent presentation, very useful, practical tips..... thanks

[@regionalanesthesiology]

Thanks for watching!

[@remyhakobyan]

Guys Thanks a lot for what your doing! I'm interested in you opinion on which block ESP or Seratus plane block is better for VATS procedures

[@BassGuyNL]

Fascinating video! I have a practical question which is not adressed in the video. To hold both the ultrasound probe and needle AND at the same time administer the puffs of saline, you would need three hands. Is the syringe with saline handled by an assistent, or do you let go of the needle and inject the saline yourself, then put down the syringe and advance the needle further? Also, with the probe tilted from medial to lateral, do you insert the needle from the lateral side of the probe (seems most logical to me) or the medial side? This video has been on YT for over a year. If the original poster does not reply, any insights shared regarding the questions above by anesthesiologists who have adopted this method would be greatly appreciated!

[@BassGuyNL]

@@regionalanesthesiology Wow, thank you for that very quick reply! I use in plane technique for all of my blocks, including transverse and parasagittal paravertebral, but I am certainly going to give this a try.

[@basmagaber4984]

Where is the thoracic facia keeping the pleura away from paravertebral space!?

[@ballgopackgo9456]

How This technique provide any analgesic effect different to ERPB?

[@naochateia]

Is that the erector spinae plane block? PVB are reliable and can provide anesthetic blocks, not just analgesic. They are harder and can cause pneumothorax, but they are much more effective.

[@rajanarsapur.6072]

It is very dangerous procedure negative aspirations will not guaranty one is not in vessel. Most importantly being very close to heart drug act more rapidly than Intravenous. The author has about 45 Yeats of Exeperince in Regional Anesthesia