Thoracic Paravertebral Block, a Suitable and Safe Adjunct for General Anaesthesia, for Post-Operative Pain Relief in Modified Radical Mastectomies
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 3
Abstract
Paravertebral block (PVB) has been safely used as a sole anaesthetic or as a supplement to GA in patients undergoing breast surgery.1 It’s analgesic effect is attributed to its distinctive property of eliminating cortical responses to thoracic dermatomal stimulation.2,3 which clinically translates to prolonged sensory neural block resulting in decreased analgesic requirements.4 Further merits of PVB include a reduced incidence of post operative nausea and vomiting, early ambulatory discharge & preventive benefit in chronic pain following mastectomy1 . Acute post operative pain has been postulated to be an important contributory factor in perioperative immune suppression which has been hypothesized to have a role in tumour progression and recurrence5 . PVB due to its superior analgesic efficacy may thus have a beneficial role in contributing to a recurrence free survival in patients with carcinoma breast
Authors and Affiliations
Dr Deepthi. J Prabhu
Keywords
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