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This mode of analgesia is not considered to be a stand alone technique (in contrast to epidural analgesia) and most patients will require additional analgesia (usually parenteral patient controlled analgesia). Compared to epidural analgesia, the paravertebral administration of analgesia is considered to be safer in anti-coagulated patients, but the risk of local anaesthetic toxicity remains. There is little published about the care of patients receiving this form of analgesia. This article provides an overview of the technique of thoracic paravertebral analgesia, the choice of analgesics and side effects together with recommendations for patient care.<\/jats:p>","DOI":"10.1177\/175045890801801104","type":"journal-article","created":{"date-parts":[[2017,12,13]],"date-time":"2017-12-13T03:36:08Z","timestamp":1513136168000},"page":"491-496","source":"Crossref","is-referenced-by-count":7,"title":["Thoracic Paravertebral Block (Pvb) Analgesia"],"prefix":"10.1177","volume":"18","author":[{"given":"Felicia","family":"Cox","sequence":"first","affiliation":[{"name":"Pain Management Service, Royal Brompton and Harefield NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Cousins","sequence":"additional","affiliation":[{"name":"Pain Management, Royal Brompton Hospital, London"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2008,11,1]]},"reference":[{"key":"bibr1-175045890801801104","unstructured":"Association of Anaesthetists of Great Britain & Ireland 2007 Guidelines for the management of severe local anaesthetic toxicity London, AAGBI Available from: www.aagbi.org\/publications\/guidelines\/docs\/latoxicity07.pdf [Accessed 8 July 2008]"},{"key":"bibr2-175045890801801104","unstructured":"Astra Zeneca UK Limited 2005 Marcain Polyamp Steripack SPC Available from: www.medicines.org.uk [Accessed 8 July 2008]"},{"key":"bibr3-175045890801801104","doi-asserted-by":"publisher","DOI":"10.1177\/175045890801801103"},{"key":"bibr4-175045890801801104","doi-asserted-by":"publisher","DOI":"10.1016\/j.rapm.2006.11.011"},{"key":"bibr5-175045890801801104","doi-asserted-by":"publisher","DOI":"10.1017\/S0265021506001104"},{"key":"bibr6-175045890801801104","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.2003.03189_1.x"},{"key":"bibr7-175045890801801104","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-006-0230-5"},{"issue":"23","key":"bibr8-175045890801801104","first-page":"30","volume":"103","author":"Cox F.","year":"2007","journal-title":"Nursing Times"},{"key":"bibr9-175045890801801104","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/ael020"},{"key":"bibr10-175045890801801104","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aem352"},{"key":"bibr11-175045890801801104","volume-title":"Second Consensus Conference on Neuraxial Anesthesia and Anticoagulation. 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American Society of Regional Anesthesia and Pain Medicine","author":"Horlockler T.T.","year":"2002"},{"key":"bibr12-175045890801801104","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000230603.92574.4e"},{"key":"bibr13-175045890801801104","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/87.2.312"},{"key":"bibr14-175045890801801104","doi-asserted-by":"publisher","DOI":"10.1378\/chest.123.2.424"},{"key":"bibr15-175045890801801104","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2004.07.030"},{"issue":"8","key":"bibr16-175045890801801104","first-page":"470","volume":"18","author":"McMain L.","year":"2008","journal-title":"Journal of Perioperative Practice"},{"issue":"10","key":"bibr17-175045890801801104","doi-asserted-by":"crossref","first-page":"1028","DOI":"10.1111\/j.1365-2044.2004.03947.x","volume":"59","author":"Naja M.Z.","year":"2004","journal-title":"Anaesthesia"},{"key":"bibr18-175045890801801104","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2005.04232.x"},{"key":"bibr19-175045890801801104","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2006.02.032"},{"key":"bibr20-175045890801801104","volume-title":"Patient Safety Alert 21 Safer practice with epidural injections and infusions","author":"National Safety Patient Safety Agency (NPSA)","year":"2007"},{"key":"bibr21-175045890801801104","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-6701(07)60002-4"},{"key":"bibr22-175045890801801104","unstructured":"Royal College of Anaesthetists, Royal College of Nursing, The Association of Anaesthetists of Great Britain & Ireland, et al 2004 Good practice in the management of continuous epidural analgesia in the hospital setting London, RCoA Available from: www.britishpainsociety.org\/Epid-Analg.pdf Accessed 8 July 2008]"},{"key":"bibr23-175045890801801104","unstructured":"Royal College of Anaesthetists 2006 Risks associated with your anaesthetic. 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