Indication | Suggested spinal level and type of block |
Thoracic surgery | |
Thoracotomy | Continuous block at the level of the thoracotomy (usually T5) and at level of the chest tube (usually T8) |
Video-assisted thoracoscopic surgery (VATS) | Multilevel single injections at T4 to T8 |
Robot-assisted thoracoscopic surgery (RATS) | |
Rib fractures | One continuous TPVB per 4 ribs fractured, centered on the levels of the fractured ribs |
Breast surgery* | T2,T4 large volume injections or T2-T6 small volume injection at every level |
Upper extremity surgery that extends to the axilla | T2 using large volume single injection |
Inguinal hernia repair | T11, T12, L1 multilevel single injections |
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