Ultrasound Guided Thoracic Paravertebral Block versus Blind Landmark Technique for Breast Surgery. Does it Really Different?
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- Category: Vol. 84, December 2016
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Ultrasound Guided Thoracic Paravertebral Block versus Blind Landmark Technique for Breast Surgery. Does it Really Different?, RANDA I. BADAWY, SAHAR S. ISMAIL, MOHAMED AHMED MANSOUR and AHMED M. ALI
Abstract
Background and Aim: Thoracic Paravertebral Block (TPVB) is an effective intraoperative and postoperative technique for surgical anaesthesia and analgesia for breast surgery [1]. It offers a long-lasting effective analgesia with a significant decrease in anaesthetic and analgesic consumption. Ultrasound guidance helps identifying the Paravertebral Space (PVS), needle placement, and to real time monitor the spread of the local anesthetic around nerves which increases the efficacy of the block and minimizes the risk of complications.
Methods: A total of 48 adult females, ASA physical status I and III, 18-55 years, patients scheduled for unilateral breast surgery. Patients were randomly assigned into 2 groups of equal size (n=24).
Group A: Patients received TPVB using blind land mark technique.
Group B: Patients received TPVB using ultrasound guided technique.
Objective: The purpose of this study is to determine safety and efficacy of ultrasound guided TPVB versus blind technique in breast surgery.
Conclusion: This study demonstrated that the use US-guided TPVB is feasible, effective, has a high success rate, and decrease the incidence of complications due to direct visualization of anatomical structures, the needle and spread of local anesthetic.