Clinical Procedure
 
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An example of 4 level spread of local anaesthetic spread following a single level injection with 10ml volume

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Anatomy of paravertebral block refl.in/46

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For breast surgery - Single injection 20ml at T3 or T4. Ref : Regional Anaesthesia Dr Alwin Chuan

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May 24, 2011
2% lignocaine with adrenaline 1:200 000, 0.5% bupivacaine with adrenaline 1:200 000, or 0.5% ropivacaine. Same ref
Paravertebral Block ATOTW refl.in/6g

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Measure the depth to transverse process & advance the needle further 1cm. Loss of resistance technique to identify the paravertebral space is very subtle and nonspecific at best. refl.in/6h

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Somatic and sympathetic nerve blockade in multiple contiguous thoracic dermatomes above and below the site of injection

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