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This instruction movie deals with all the practical aspects of the Continuous
Thoracic Paravertebral Block. It starts off with a discussion of the rationale,
indications, contra-indications and dangers of the block, and then discusses the
pharmaceutical choices, followed by the actual performance of the block, demonstrated
on a live model. The positioning of the patient, surface anatomy landmarks,
needle entry, depth and direction, and nerve stimulator management are discussed
in detail. The accurate catheter placement, tunneling, management and removal
techniques are also discussed in great detail. The stimulating catheter technique
is used. The movie is fully narrated.
Please see Continuous Femoral Nerve Block as a sample movie.
Windows Media Player Version or QuickTime Version
The authors recommend that practitioners study the anatomy in detail as outlined
on "The Primer of Regional Anesthesia Anatomy" by Boezaart, Bryson, Borene and
Field before attempting this block.
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