PMC5063483_01
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.
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PMC5063483_01_lra-9-083Fig1.jpg
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Her T3 spinous process was identified using the scapular spine as a landmark, and 1.5 cm from the midline on the right side was marked as the needle entry point (Figure 1).