{"_buckets": {"deposit": "420fd378-84b1-454a-83e8-d21cec282131"}, "_deposit": {"id": "29468", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "29468"}, "status": "published"}, "_oai": {"id": "oai:nagoya.repo.nii.ac.jp:00029468"}, "item_10_biblio_info_6": {"attribute_name": "\u66f8\u8a8c\u60c5\u5831", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2020-02", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "1", "bibliographicPageEnd": "78", "bibliographicPageStart": "72", "bibliographicVolumeNumber": "34", "bibliographic_titles": [{"bibliographic_title": "Journal of Anesthesia"}]}]}, "item_10_description_4": {"attribute_name": "\u6284\u9332", "attribute_value_mlt": [{"subitem_description": "Purpose: Thoracic paravertebral block (TPVB) provides a unilateral nerve block at multiple intercostal levels allowing injection of a local anesthetic into paravertebral space (PVS) via a needle or catheter. However, the most effective injection method remains unclear. This study compared the real-time spread of ropivacaine between two paravertebral injection methods using thoracoscopy. Methods: Thirty-four patients scheduled for thoracoscopic surgery were randomly allocated into the Needle or Catheter groups, and performed transverse in-plane ultrasound-guided TPVB. The Needle group received 20 ml of 0.5% ropivacaine via a needle placed into the lateral edge of PVS; the Catheter group received the same dose of ropivacaine via a catheter inserted 5 cm into PVS. The primary outcome was the spreading pattern of ropivacaine in each group. The secondary outcome was intraoperative vasopressor requirement after paravertebral injection. Results: In the Needle group, all cases showed ropivacaine spread to multiple intercostal levels, mainly across the ribs. Contrastingly, the Catheter group showed variable spreading patterns; multiple intercostal levels (n\u2009=\u200910) [across the ribs (n\u2009=\u20094), anterolateral aspect of the vertebral bodies (n\u2009=\u20096)] or unobservable spreading (no change; n\u2009=\u20097) (P\u2009=\u20090.007). Vasopressors were required in two and ten cases in the Needle and Catheter groups, respectively (P\u2009=\u20090.010). Conclusion: Paravertebral injection via a needle typically resulted in spreading to multiple intercostal levels, especially across the ribs on the peripheral side of injection site, whereas injection via a catheter resulted in variable spreading patterns. Therefore, injections via needles are more stable.", "subitem_description_type": "Abstract"}]}, "item_10_description_5": {"attribute_name": "\u5185\u5bb9\u8a18\u8ff0", "attribute_value_mlt": [{"subitem_description": "\u30d5\u30a1\u30a4\u30eb\u516c\u958b\uff1a2021/02/01", "subitem_description_type": "Other"}]}, "item_10_publisher_32": {"attribute_name": "\u51fa\u7248\u8005", "attribute_value_mlt": [{"subitem_publisher": "Springer"}]}, "item_10_relation_11": {"attribute_name": "DOI", "attribute_value_mlt": [{"subitem_relation_type_id": {"subitem_relation_type_id_text": "https://doi.org/10.1007/s00540-019-02713-6", "subitem_relation_type_select": "DOI"}}]}, "item_10_rights_12": {"attribute_name": "\u6a29\u5229", "attribute_value_mlt": [{"subitem_rights": "\u201cThis is a post-peer-review, pre-copyedit version of an article published in [Journal of Anesthesia]. The final authenticated version is available online at: http://dx.doi.org/10.1007/s00540-019-02713-6\u201d."}]}, "item_10_select_15": {"attribute_name": "\u8457\u8005\u7248\u30d5\u30e9\u30b0", "attribute_value_mlt": [{"subitem_select_item": "author"}]}, "item_10_source_id_61": {"attribute_name": "ISSN\uff08print\uff09", "attribute_value_mlt": [{"subitem_source_identifier": "0913-8668", "subitem_source_identifier_type": "ISSN"}]}, "item_creator": {"attribute_name": "\u8457\u8005", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "Fujii, Tasuku"}], "nameIdentifiers": [{"nameIdentifier": "96849", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Shibata, Yasuyuki"}], "nameIdentifiers": [{"nameIdentifier": "96850", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Ban, Yasutaka"}], "nameIdentifiers": [{"nameIdentifier": "96851", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Shitaokoshi, Akira"}], "nameIdentifiers": [{"nameIdentifier": "96852", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Takahashi, Kunihiko"}], "nameIdentifiers": [{"nameIdentifier": "96853", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Matsui, Shigeyuki"}], "nameIdentifiers": [{"nameIdentifier": "96854", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Nishiwaki, Kimitoshi"}], "nameIdentifiers": [{"nameIdentifier": "96855", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "\u30d5\u30a1\u30a4\u30eb\u60c5\u5831", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2021-02-01"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "A_single_paravertebral_injection_final_manuscript.pdf", "filesize": [{"value": "337.4 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 337400.0, "url": {"label": "A_single_paravertebral_injection_final_manuscript", "url": "https://nagoya.repo.nii.ac.jp/record/29468/files/A_single_paravertebral_injection_final_manuscript.pdf"}, "version_id": "5b257a98-a338-43e6-9784-a40c66b1fcb5"}]}, "item_keyword": {"attribute_name": "\u30ad\u30fc\u30ef\u30fc\u30c9", "attribute_value_mlt": [{"subitem_subject": "Catheter", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Needle", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Paravertebral injection", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Regional anesthesia", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Thoracic paravertebral block", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "\u8a00\u8a9e", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "item_resource_type": {"attribute_name": "\u8cc7\u6e90\u30bf\u30a4\u30d7", "attribute_value_mlt": [{"resourcetype": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "A single paravertebral injection via a needle vs. a catheter for the spreading to multiple intercostal levels: a randomized controlled trial", "item_titles": {"attribute_name": "\u30bf\u30a4\u30c8\u30eb", "attribute_value_mlt": [{"subitem_title": "A single paravertebral injection via a needle vs. a catheter for the spreading to multiple intercostal levels: a randomized controlled trial"}]}, "item_type_id": "10", "owner": "1", "path": ["499/500/501"], "permalink_uri": "http://hdl.handle.net/2237/00031654", "pubdate": {"attribute_name": "\u516c\u958b\u65e5", "attribute_name_i18n": "\u516c\u958b\u65e5", "attribute_value": "2020-03-24"}, "publish_date": "2020-03-24", "publish_status": "0", "recid": "29468", "relation": {}, "relation_version_is_last": true, "title": ["A single paravertebral injection via a needle vs. a catheter for the spreading to multiple intercostal levels: a randomized controlled trial"], "weko_shared_id": null}