Post-operative pain and analgesic requirements in breast surgery: Comparative study of combined general anaesthesia with paravertebral block versus general anaesthesia alone
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2016, Vol 21, Issue 1
Abstract
Background:Patients undergoing breast cancer surgery frequently experience chronic postoperative pain. The primary objective of this randomized study was to determine if thoracic paravertebral block (TPVB) reduced the incidence of chronic pain after a modified radical mastectomy (MRM) when compared with general anesthesia (GA).This study was undertaken to compare analgesic efficacy and complications of combined general anaesthesia with paravertebral block versus general anaesthesia alone in breast surgery. Material and Methods: A total of 60 patients for elective breast surgery were grouped as Group A (General anaesthesia with paravertebral block) and Group B (General anaesthesia alone) and compared for analgesic efficacy and complications. Results: Duration of postoperative analgesia in group A was 17.63 ± 2.34 versus 5.47 ± 1.63 in group B. Patients in group A (PVB + GA) didn’t required any rescue analgesics as compared to group B (GA) where 28 patients received rescue analgesics. Incidence of PONV was significantly lower in group A as compared to group B. Conclusion: Para vertebral block when used with general anaesthesia induces excellent anaesthesia and greater postoperative pain relief and lower incidence of PONV and other complications.
Authors and Affiliations
Nilambari S Adke, Pravin C Jadhav
Keywords
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