A study of the efficacy of paravertebral block in the patients of breast surgeries at tertiary health care centre

Journal Title: Medpulse International Journal of Anesthesiology - Year 2017, Vol 3, Issue 1

Abstract

Background: Breast cancer is perhaps the most common cancer in women that requires frequent surgical intervention. Until recently breast surgeries were typically performed under general anaesthesia by intravenous and inhalational anesthetic agents. Although G.A. provides desired state of unconsciousness, it does not eliminate the surgical stress response during intubation. It may cause postoperative nausea, vomiting and pain so prolongs recovery time. Using thoracic paravertebral block has emerged as a suitable alternative to GA, as it offers good surgical anaesthesia along with prolonged post-operative analgesia. Aim and objective: To assess the efficacy of paravertebral block in the patients of breast surgeries. Material and Methods: Study of thoracic paravertebral block (TPVB) in 40 patients of benign or malignant breast diseases. The PVB was given according to guidelines describe by Eason and Wyatt (1979). Efficacy of analgesia was assessed as Onset of analgesia. Result: Mean time for onset of analgesia was 8.325±130 min. In present study block was excellent in 28 patients out of 40. Intraoperatively there were no significant (P>0.05) changes in pulse rate, SABP, DABP and SPO2 at various periods. Mean duration of postoperative analgesia was 7.025±1.187 hour. Conclusion: Paravertebral block for breast surgery is very safe and effective technique with good postoperative analgesia

Authors and Affiliations

Pravin C Jadhav, Vaishnavi V Kulkarni, Pushpa I Agrawal, Surekha Shinde

Keywords

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  • EP ID EP260422
  • DOI -
  • Views 177
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How To Cite

Pravin C Jadhav, Vaishnavi V Kulkarni, Pushpa I Agrawal, Surekha Shinde (2017). A study of the efficacy of paravertebral block in the patients of breast surgeries at tertiary health care centre. Medpulse International Journal of Anesthesiology, 3(1), 31-34. https://europub.co.uk/articles/-A-260422