Ultrasound-Guided Multilevel Thoracic Paravertebral Block and Its Efficacy for Surgical Anesthesia During Primary Breast Cancer Surgery.
Pawinee PangthipampaiManoj Kumar KarmakarBanchobporn SongthamwatJatuporn PakpiromWinnie SamyPublished in: Journal of pain research (2020)
USG 6m-TPVB is technically feasible but does not consistently provide complete surgical anesthesia for PBCS that involves surgical dissection on the pectoralis major muscle and its fascia. Our data suggest that the pectoral nerves, which are not affected by a 6m-TPVB, are involved with afferent nociception.