Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/11777
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dc.contributor.authorOon Tan, Chongen
dc.contributor.authorBotha, Christelleen
dc.contributor.authorWeinberg, Laurenceen
dc.contributor.authorStory, David Aen
dc.contributor.authorMcNicol, Larryen
dc.date.accessioned2015-05-16T01:24:17Z-
dc.date.available2015-05-16T01:24:17Z-
dc.date.issued2013-05-29en
dc.identifier.citationJournal of Cardiothoracic and Vascular Anesthesia 2013; 27(6): 1315-20en
dc.identifier.govdoc23725686en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/11777en
dc.description.abstractA wide range of insertion points lateral to the midline are recommended for paravertebral blockade. The authors hypothesized that in a given subject, using an insertion point at the tip of the transverse process has a superficial but consistent depth to the pleura. The authors also hypothesized that for a given insertion point, depths to the pleura are related directly to the patient's anthropomorphic indices.Retrospective observational study.Adult tertiary teaching hospital.Forty-two adult patients.The authors reviewed the computerized tomography scans of 42 adult patients and correlated patients' body mass index, weight, height, and body surface area with skin and transverse process-to-pleura depths at the level of T4, 25 mm from the midline and from the tip of the transverse process. The authors found that the depth to the pleura from the transverse process was significantly deeper at 25 mm lateral to the midline than at the tip of the transverse process (21 mm [4.2mm] v 12 mm [2.7 mm], p<0.0001), and its variability was significantly larger (p = 0.005). The authors found significant correlation between anthropomorphic indices and depths to pleura and transverse process (r>0.8, p<0.0001); however, the prediction bands around their regression lines proved too broad to be clinically useful.The authors concluded that an insertion point at the tip of the transverse process may provide effective and safer paravertebral blockade and that depth to the pleura cannot be predicted reliably by patients' morphometric profiles.en
dc.language.isoenen
dc.subject.othercomputerized tomographyen
dc.subject.othercorrelationen
dc.subject.otherparavertebral blocken
dc.subject.otherparavertebral spaceen
dc.subject.otherpleuraen
dc.subject.otherpneumothoraxen
dc.subject.otherthoracicen
dc.subject.othertransverse processen
dc.subject.otherAdulten
dc.subject.otherAgeden
dc.subject.otherAged, 80 and overen
dc.subject.otherAnatomic Landmarksen
dc.subject.otherAnesthesia, Spinalen
dc.subject.otherAnthropometryen
dc.subject.otherBody Mass Indexen
dc.subject.otherBody Weight.physiologyen
dc.subject.otherFemaleen
dc.subject.otherHumansen
dc.subject.otherLinear Modelsen
dc.subject.otherMaleen
dc.subject.otherMiddle Ageden
dc.subject.otherNerve Block.methodsen
dc.subject.otherPleura.anatomy & histology.radiographyen
dc.subject.otherRetrospective Studiesen
dc.subject.otherSkin.anatomy & histologyen
dc.subject.otherThoracic Vertebrae.anatomy & histology.radiographyen
dc.subject.otherTomography, X-Ray Computeden
dc.titleComputerized tomographic anatomic relationships of the thoracic paravertebral space.en
dc.typeJournal Articleen
dc.identifier.journaltitleJournal of Cardiothoracic and Vascular Anesthesiaen
dc.identifier.affiliationDepartment of Anaesthesia, Austin Health, Heidelberg, Victoria, Australiaen
dc.identifier.doi10.1053/j.jvca.2012.12.008en
dc.description.pages1315-20en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/23725686en
dc.type.austinJournal Articleen
local.name.researcherStory, David A
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptAnaesthesia-
crisitem.author.deptAnaesthesia-
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