COMPARATIVE STUDY OF THORACIC PARAVERTEBRAL BLOCK AND GENERAL ANAESTHESIA FOR POST OPERATIVE ANALGESIA IN ELECTIVE BREAST SURGERY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2013, Vol 2, Issue 13
Abstract
[b]BACKGROUND[/b]: this randomised control trial is to evaluate unilateral paravertebral block in elective breast surgery in comparison with general anaesthesia [b]METHODS[/b]: 106 patients of breast surgery were randomised in 2 groups- group-P and group-G. group-P patients received unilateral multiple level paravertebral block with 0.25% levo-bupivacaine at T2 to T5 level and group-G patients received general anaesthesia. Pulse, BP were recorded in the perioperative period and rescue analgesic requirement time and VAS scores were recorded in PACU. Recorded data were evaluated after that. [b]RESULTS[/b]: In PACU rescue analgesia needed in group-P in 69.22 minutes and in group-G in 41.27 minutes. Post-operative VAS scores were lower in group-P patients at 30 minutes, 1 hr. and 2 hr. There was no incidence of hypotension or hypertension or bradycardia or tachycardia in any group. Patients overall satisfaction score in group-P was 4 vs 3.6 in group-G (p value <0.05) [b]CONCLUSION[/b]: Thoracic para-vertebral block is a safe alternative to general anaesthesia for elective breast surgery as it provides better postoperative analgesia with similar hemodynamic stability
Authors and Affiliations
Gautam Piplai, Manas Karmakar, Dhurjoti Bhattacharya, Jatisankar Rudra, Tapan Sahoo, Sariful Mallick, Arunima Mukhopadhyay, Sabyasachi Sarkar
Keywords
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- EP ID EP164069
- DOI 10.14260/jemds/509
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