Pre-emptive or Preventive Transversus Abdominis Plane Block Analgesia for Laparoscopic Surgery?

Is paravertebral block the new standard of care for postoperative analgesia after thoracoscopic surgery?

“…Similar to the transversus abdominis plane block in laparoscopic procedures ( 13 ), the ultrasound (US)-guided technique with pre-emptive local anesthetic infiltration of the port sites to avoid sensitization and amplification of the nociceptive signals before entry in the thoracic cavity could prove useful and safe for PVB. However, pain control may fail due to poor sonographic visualization, and the catheter for continuous analgesia is often misplaced with the US-guided technique ( 14 , 15 ).…”