Paravertebral catheters in pediatrics


Key Points

  • Performing this block requires ultrasound experience.

  • Needle visualization plays a major role in achieving a successful block.

  • Epidural spread can occur from a unilateral injection.

Indications

  • Patients who undergo operative procedures of the chest and upper abdomen.

  • Unilateral coverage as thoracotomies, cholecystectomy, mastectomies, and other urological procedures with preservation of the pulmonary functions.

  • Inadequate or unsuccessful epidural placement where bilateral catheters are placed.

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