Single-shot lamina thoracic paravertebral block with ketofol for modified radical mastectomy

Figures & data

Figure 1 Illustration of the landmarks showing the scapular spine and C7–T6 spinous processes.

Notes: On the patient’s right side, the lamina TPVB needle entry point is marked 1.5 cm lateral to the midline at the level of T3 spinous process. Tuohy needle is advanced in a strictly parasagittal plane at an angle of 45° to the skin cranially to make contact with the lamina of T3 vertebra. The needle puncture site for the classic TPVB is more lateral, ~3 cm from the midline.
Abbreviation: TPVB, thoracic paravertebral block.