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KMID : 0361620230580010062
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Journal of the Korean Orthopaedic Association
2023 Volume.58 No. 1 p.62 ~ p.66
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Delayed Pneumothorax after Thoracic Paravertebral Block
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Shim Dae-Moo
An Ki-Yong
Kwon Ki-Hyun
Chung Young-Woo
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Abstract
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This paper reports a case of a patient aged 63 years who developed a delayed pneumothorax after thoracic paravertebral block (TPVB).
TPVB is a non-invasive procedure that is known to be relatively safe. A 63-year-old female was admitted with back pain. TPVB T9?10 left was then performed. Two days after the procedure, she complained of dyspnea in the emergency room. X-ray showed a pneumothorax in her left side with partial left lung collapse. The pneumothorax was managed by surgical intervention, and an intercostal tube was inserted.
The post-procedural X-ray showed a fully expanded lung. A chest tube was taken out after 72 hours. A delayed pneumothorax can occur after TPVB. Therefore, careful observation is required after this procedure.
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KEYWORD
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spine, lung, pneumothorax, ultrasonography
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