{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:36:42Z","timestamp":1787071002361,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:p>\n                    To avoid the complications related to thoracic epidural and paravertebral block, we performed mid-point transverse process to pleura (MTP) block in a patient with multiple rib fractures. A patient with 2\n                    <jats:sup>nd<\/jats:sup>\n                    --5\n                    <jats:sup>th<\/jats:sup>\n                    rib fractures came with complains of severe pain and difficulty in breathing. Ultrasound (US)-guided continuous MTP block was given at T4 level and 15 ml of 0.375% ropivacaine was deposited, followed by the catheter insertion at the same level. Patient reported decreased sensation from T2--T8 dermatomes and reduced VAS scores from 9\/10 to 1\/10 within 20 min of block insertion. Continuous MTP block is efficacious in providing thoracic analgesia and has higher safety margin as needle is inserted further away from pleura.\n                  <\/jats:p>","DOI":"10.4103\/sja.sja_773_18","type":"journal-article","created":{"date-parts":[[2019,9,18]],"date-time":"2019-09-18T07:26:28Z","timestamp":1568791588000},"page":"365-367","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":22,"title":["Novel block and new indication: Ultrasound-guided continuous \u201cmid-point transverse process to pleura\u201d block in a patient with multiple rib fractures"],"prefix":"10.4103","volume":"13","author":[{"given":"Rashmi","family":"Syal","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakesh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manoj","family":"Kamal","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradeep","family":"Bhatia","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250925","doi-asserted-by":"crossref","first-page":"1230","DOI":"10.1111\/anae.14004","article-title":"The mid-point transverse process to 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block for thoracic surgery","volume":"71","author":"Roue","year":"2015","journal-title":"Anaesthesia"},{"key":"R9-20250925","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1093\/bja\/aep015","article-title":"Ultrasound-guided paravertebral puncture and placement of catheters in human cadavers: An imaging study","volume":"102","author":"Luyet","year":"2009","journal-title":"Br J Anaesth"},{"key":"R10-20250925","doi-asserted-by":"crossref","first-page":"2676","DOI":"10.1097\/00007632-199412000-00015","article-title":"Quantitative morphology of the lateral ligaments of the spine: Assessment of their importance in maintaining lateral stability","volume":"19","author":"Jiang","year":"1994","journal-title":"Spine"}],"container-title":["Saudi Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.SJA_773_18","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:40:13Z","timestamp":1787067613000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.SJA_773_18"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.4103\/sja.sja_773_18","relation":{},"ISSN":["1658-354X","0975-3125"],"issn-type":[{"value":"1658-354X","type":"print"},{"value":"0975-3125","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10]]}}}