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BJA Advance Access published online on June 25, 2004
British Journal of Anaesthesia, doi:10.1093/bja/aeh212
© 2004 by The Board of Management and Trustees of the British Journal of Anaesthesia
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Accepted April 28, 2004

Case Report

Right thoracic paravertebral analgesia for hepatectomy

A. M.-H. Ho 1*, M. K. Karmakar 1, M. Cheung 1, G. C. S. Lam 1

1 Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong SAR, People's Republic of China

* To whom correspondence should be addressed. E-mail: hoamh{at}cuhk.edu.hk.


  Abstract

Haemostatic deficiencies, common among cirrhotic patients, may deteriorate further after hepatectomy, increasing the bleeding risk associated with the use of thoracic epidural analgesia. We describe two patients who enjoyed immediate post-operative tracheal extubation and satisfactory analgesia using mainly right thoracic paravertebral analgesia after right lobe hepatectomy.

Keywords: analgesia; anaesthesia, regional; anaesthetics, local; complications, coagulopathy; complications, thrombocytopenia.
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