Ultrasound Guided Modified Pectoral Nerves Block versus Thoracic Paravertebral Block for Perioperative Analgesia in Major Breast Surgery
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- Category: Vol. 84, December 2016
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Ultrasound Guided Modified Pectoral Nerves Block versus Thoracic Paravertebral Block for Perioperative Analgesia in Major Breast Surgery, SOMIA M. EL-SHEIKH, AZZA FOUAD, GHADA N. BASHANDY, MOHAMED A. AL-AZZB and REHAM M. GAMAL
Abstract
Background: This study evaluated the safety and compli-cations between the ultrasound guided modified pecs block versus thoracic paravertebral for perioperative analgesia after mastectomy.
Methods: Forty patients scheduled for ultrasound guided modified pecs block and thoracic paravertebral block into two equal comparable groups. The first group (Group I) received modified pecs block while the second group (Group II) received thoracic paravertebral block. Evaluated variables included total intra operative fentanyl consumption, VAS in PACU, sedation score, 24hr morphine consumption, VAS before discharge, hospital stay and patient satisfaction post-operative by 1 week.
Results: Pecs group and para vertebral group there is significantly difference in VAS in PACU, VAS before discharge between the 2 groups, and no significant differences in sedation score, postoperative 24hr morphine consumption and 1st rescue analgesia.
Conclusions: Our findings suggest that the ultrasound guided modified pec s block is agood alternative to thoracic para vertebral block to control perioperative pain in breast surgery.