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Paravertebral Block // Ultrasound-Guided Demonstration

We demonstrate how to perform a transverse in-plane paravertebral block at the lower thoracic level. We review key anatomy with overlays and show injection of local anesthetic in the paravertebral space. Additional reading: Krediet AC, Moayeri N, van Geffen GJ, et al. Different Approaches to Ultrasound-guided Thoracic Paravertebral Block: An Illustrated Review. Anesthesiology. 2015;123(2):459-474. Procedure performed by Anna Gilman, MD. Peer reviewed by Sassan Sabouri, MD and Raf Vazquez, MD (@RafMD1). Music "Emerald City" by Stephen Campbell, MD. -- Note that the orientation of the ultrasound image may vary by institution and resource. Equipment: GE Logiq E Ultrasound Machine 22 G x 3 1/4' (80 mm) SonoPlex echogenic stimulating needle -- Disclaimer: Invasive medical procedures can result in harm to patients and practitioners and should be performed only by qualified medical professionals. This video is intended solely for informational purposes and to supplement, not replace, proper training and supervision by qualified instructors. Viewers are advised to check the most current information provided by the manufacturer for every device being used, and to verify the indications, contraindications and proper procedural technique. The dose, method of administration, and contraindications for any administered drug should be confirmed before use. The authors of the video do not assume any liability for any injury or damage to any person or property arising from the use of this video.