Case Report: Thoracic paravertebral catheter positioning for postoperative continuous analgesia - Takeaways - MDSpire
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Clinical Case Study: Positioning of Thoracic Paravertebral Catheters for Continuous Postoperative Pain Relief

  • By

  • Marco Rispoli

  • Moana Rossella Nespoli

  • Dario Maria Mattiacci

  • Domenico Santonastaso

  • Maria Caterina Pace

  • Francesco Coppolino

  • June 12, 2026

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  • 1

    The thoracic paravertebral block (PVTB) provides unilateral analgesia and is effective for postoperative pain management in thoracic surgeries.

  • 2

    Ultrasound-guided catheter placement enhances the precision of continuous PVTB, addressing the limitation of short analgesic duration.

  • 3

    A case study demonstrated successful continuous analgesia using a thoracic paravertebral catheter in a 50-year-old patient after left VATS pneumonectomy.

  • 4

    The saline 'bubble test' effectively confirmed catheter positioning, minimizing concerns about malpositioning in obese patients.

  • 5

    Continuous PVTB offers excellent postoperative pain control with minimal complications, making it a valuable technique for thoracic procedures.

Original Source(s)

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

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