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British Journal of Anaesthesia, Vol 83, Issue 4 668-669, Copyright © 1999 by The Board of Management and Trustees of the British Journal of Anaesthesia

CASE REPORTS

Pulmonary haemorrhage after percutaneous paravertebral block

P. W. Thomas, D. J. Sanders and R. G. Berrisford
Department of Anaesthesia and Department of Thoracic Surgery, Royal Devon and Exeter Hospital, Barrack Road, Exeter, Devon EX2 5DW, UK

We describe the management of a 65-yr-old woman anaesthetized for thoracotomy. The patient suffered a pulmonary haemorrhage after percutaneous paravertebral injection performed using the loss of resistance to saline technique. Thoracotomy at a later date revealed that the lung tissue had become adherent to the chest wall and that the paravertebral space was fibrosed secondary to previous surgery. This particular complication of percutaneous paravertebral block has not been reported previously and raises the question of risk vs benefit of this pre-emptive analgesic technique.
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