TECHNIQUES OF INTERPLEURAL ANESTHESIA NEEDLE

TECHNIQUES OF INTERPLEURAL ANESTHESIA NEEDLE

An epidural catheter is commonly inserted through a Tuohy needle at a level between T6 and T8. The entry point is anywhere between 8 cm lateral to the posterior midline and the posterior axillary line. A lateral decubitus position is often taken with the affected side up. The level of each rib is palpated and marked and the entry point determined. In contrast to the entry point at the inferior border of the rib for individual intercostal nerve block, the entry point for interpleural anesthesia can be at the superior border of the selected rib to avoid trauma to the intercostal nerve and blood vessels by the large Tuohy needle used for interpleural anesthesia.

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