Continuous thoracic paravertebral blockade is an advanced regional anesthesia technique and adequate experience with the single-shot technique is a prerequisite. The continuous thoracic paravertebral block technique is more suitable for analgesia than for surgical anesthesia. The resultant blockade can be thought of as a unilateral continuous thoracic epidural, except that there are no significant hemodynamic changes. The technique is somewhat similar to the single-shot injection, except that the needle should be properly angled to allow for insertion of the catheter. This technique provides excellent analgesia and it is devoid of significant hemodynamic effects in patients after mastectomy and unilateral chest surgery.
The patient is positioned in the supine or lateral decubitus position. Most of our patients with this block are patients undergoing various thoracic procedures. For practical reasons, most catheters are placed postoperatively, just before the patients emerge from general anesthesia. Since these patients are typically already positioned in the lateral decubitus position, this practice precludes the need for special patient positioning or premedication for the block placement. In addition, the risk of pneumothorax is nonexistent because the patients already have a chest tube inserted. However, the ability to clearly visualize spinous processes is of crucial importance.
PAJUNK sets for continuous epidural anaesthesia are atraumatic and gentle . Thanks to the curved Tuohy tip, the catheter automatically bends when the catheter egresses, placing it in the correct position. Metal helical coils and soft catheter material unify maximum flexibility and stability in the new EpiLong Soft catheters -- catheter constriction is impossible. Six lateral openings guarantee completely uniform distribution of the anaesthetic. Epidural anaesthesia has served as a proven anaesthetic method for many years. PAJUNK supports this modern form of puncture technology close to the spinal cord with four different sets for continuous epidural anaesthesia. The main emphasis of development is focused on providing cannulas which, with a new generation Tuohy cannula with "Cornerstone" reflectors, are PAJUNK®'s response to the increasing signifi cance of ultrasonic placement. On top of that, with the EpiLong Soft, PAJUNK is now presenting a new generation of catheters.
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