Right thoracic paravertebral analgesia for hepatectomy

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. © The Board of Management and Trustees of the British Journal of Anaesthesia 2004.