Case Report: Thoracic paravertebral catheter positioning for postoperative continuous analgesia - Summary - MDSpire

Case Report: Thoracic paravertebral catheter positioning for postoperative continuous analgesia

  • By

  • Marco Rispoli

  • Moana Rossella Nespoli

  • Dario Maria Mattiacci

  • Domenico Santonastaso

  • Maria Caterina Pace

  • Francesco Coppolino

  • June 12, 2026

  • 0 min

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Objective:

To describe the use of an ultrasound-guided thoracic paravertebral catheter for continuous analgesia in a left VATS pneumonectomy, highlighting its significance in postoperative pain management.

Key Findings:
  • The ultrasound-guided thoracic paravertebral catheter provided effective postoperative pain relief, suggesting its reliability in similar cases.
  • The saline 'bubble test' effectively confirmed catheter positioning, enhancing procedural confidence.
  • The patient was discharged on the 8th postoperative day without complications, indicating a successful recovery.
Interpretation:

Ultrasound-guided thoracic paravertebral catheter placement is a reliable alternative to epidural analgesia for thoracic surgeries.

Limitations:
  • Challenges in catheter placement and maintenance for continuous PVTB may limit its use in certain patient populations.
  • Potential for catheter malpositioning, particularly in obese patients, necessitates careful monitoring and technique.
Conclusion:

Ultrasound-guided thoracic paravertebral catheter placement offers excellent postoperative pain control with minimal complications, warranting further research into its broader applications.

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