Effectiveness of Multiple Injection Thoracic Paravertebral Block for Breast Surgery as an Alternative to General Anasthesia
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- Category: Vol. 84, December 2016
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Effectiveness of Multiple Injection Thoracic Paravertebral Block for Breast Surgery as an Alternative to General Anasthesia, RANDA I. BADAWY, SAHAR S. ISMAIL, MOHAMED AHMED MANSOUR and AHMED M. ALI
Abstract
Background and Aim: General anaesthesia is currently the conventional technique used for breast surgries. Thoracic Paravertebral Block (TPVB) has been used for analgesia in unilateral procedures such as thoracotomy, breast surgery, chest wall trauma, hernia repair and renal surgery.
Methods: A total of 60 adult females, ASA physical status I and II, 18-50 years, patients scheduled for unilateral breast surgery (biopsy, fibroadenoma resection, simple mastectomy). Patients were randomly assigned into 2 groups of equal size (n=30).
Group A: Patients recived unilateral Thoracic Paravertebral Block (TPVB).
Group B: Patients recived General Anaesthesia (GA).
Objective: Comparing effectiveness of unilateral thoracic PVB as a good alternative to general anaesthesia in elective breast surgery.
Conclusion: This study demonstrated that multiple injec-tion thoracic paravertebral block can be used as a sole anes-thetic techniqe, provide better perioperative pain control, reduce both intraoperative and postoperative opioid require-ment, PONV in patients undergoing breast surgery.