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
Related Articles
- EP ID EP164069
- DOI 10.14260/jemds/509
- Views 66
- Downloads 0
COMPUTED TOMOGRAPHY FEATURES AND PATTERNS OF PULMONARY INFECTIONS
[b] AIMS & OBJECTIVES[/b]: To determine the role of computed tomography in detection of patterns, distribution and various associated features in Pulmonary infections. Material And Methods: Sixty patients we...
PERSISTENT PUPILLARY MEMBRANE- AN OVERVIEW
PRESENTATION OF CASE A 43-year-old working female came to Eye OPD of our hospital with complain of diminished vision in both eyes since childhood, especially at night. She had no relevant past history and also there was...
PREDICTION OF OUTCOME IN PATIENTS WITH SEPSIS USING CRP, LDH AND APACHE-II SCORING SYSTEM
BACKGROUND Sepsis is one of the commonest cause for mortality in intensive care unit. There is continuum of severity ranging from sepsis to severe sepsis and septic shock. Several biomarkers and clinical scoring systems...
STEROID-INDUCED DYSGLYCAEMIA DURING FIRST 48 HOURS OF STEROID THERAPY IN HOSPITALISED PATIENTS
BACKGROUND Glucocorticoid (GC) is crucial for glucose, lipid and protein metabolism and therefore for energy balance. GCs are used in treatment of chronic obstructive pulmonary disease (COPD) exacerbations, a clinical ma...
A PROSPECTIVE OBSERVATIONAL STUDY OF MANAGEMENT PROTOCOL OF LOCALLY ADVANCED CARCINOMA RECTUM AT MGMMC AND MY HOSPITAL, INDORE
BACKGROUND Before 1900, Colon and Rectal cancer incidence was negligible. Following economic development and industrialisation,the incidence of colorectal cancer has been rising dramatically. The vast majority (98%) of c...