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Location of the paravertebral space in children and adolescents in relation to surface anatomy assessed by computed tomography
Author(s) -
Deaa P. A. Lönnqvist,
U. Hesser
Publication year - 1992
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.1992.tb00218.x
Subject(s) - medicine , computed tomography , body surface area , body weight , nuclear medicine , tomography , computed tomographic , anatomy , radiology , surgery
Summary A series of 52 thoracic and/or upper abdominal computer tomography scans were reviewed in order to determine the optimal puncture site and depth for performing paravertebral blocks in the mid‐thoracic region in children and adolescents. Both the lateral distance from the spinous process to the paravertebral space (SP‐PVS distance) and the depth from the skin to the paravertebral space (S‐PVS depth) correlated well ( r values 0.86–0.95) to all patient related parameters (age, height, weight and body surface area). Since patient weight is usually readily obtainable and correlates well with both SP‐PVS distances ( r = 0.89; SP‐PVS distance (mm) = 0.12 x body weight (kg) + 10.2) and S‐PVS depth ( r = 0.95; S‐PVS depth (mm) = 0.48 x body weight (kg) + 18.7) this parameter might provide the best and easiest prediction of the location of the paravertebral space when performing paravertebral blocks in children and adolescents.