Malkodanski Ivan*

Department of Anesthesiology and Critical Care, St. Marina University Hospital-Pleven, Medical University Pleven, Bulgaria

*Corresponding Author: Malkodanski Ivan, Department of Anesthesiology and Critical Care, St. Marina University Hospital-Pleven, Medical University Pleven, Bulgaria.

Received: August 08, 2022; Published: August 18, 2022

Abstract

Thoracic paravertebral block (TPB) can be administered for VATS (video-assisted thoracic surgery) method and often used for analgesic purposes and provides good results. Awake VATS (AVATS) has been increasingly employed in a variety of procedures involving pleura, lungs, and mediastinum. AVATS had been reported local anesthesia and sedation, intercostal blocks or TEA was used regarding regional anesthesia in many studies. We present case undergoing AVATS accompanied by TPB.

A male, aged 63, previously diagnosed with prostatic cancer with lung metastases and unilateral pleural effusions on the right side underwent paravertebral block anaesthetic technique for Video-Assisted Thoracic surgery due to comorbidities and an assessment of ASA IV (16 points). The VATS was performed after a successful paravertebral block with ropivacaine on level Th5 and sedation with dormicum and ketamine. We measure the conches of the patient with visual analogue scale (VAS). The score was 3-4 point, which is measure like mild sedation.

Keywords: Thoracic Paravertebral Block; Awake Video-assisted Thoracic Surgery

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Citation: Malkodanski Ivan. “Using a Paravertebral Block Anaesthetic Technique for Video-assisted Thoracic Surgery: A Case Report". Acta Scientific Clinical Case Reports 3.9 (2022): 48-50.

Copyright: © 2022 Malkodanski Ivan. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.