COMPARISON OF POSTOPERATIVE ANALGESIC EFFICACY AND HAEMODYNAMIC STABILITY OF THORACIC EPIDURAL BLOCK VERSUS THORACIC PARAVERTEBRAL BLOCK USING CONTINUOUS INFUSION OF BUPIVACAINE IN PATIENTS UNDERGOING ELECTIVE MODIFIED RADICAL MASTECTOMY.

  • Senior Assistant Professor, Department of Anaesthesiology, Rajiv Gandhi Government General Hospital, Madras Medical College, Chennai.
  • Senior Assistant Professor, Department of Anaesthesiology, Rajiv Gandhi Government General Hospital, Madras Medical College, Chennai.
  • Resident, Department of Anaesthesiology, Rajiv Gandhi Government General Hospital, Madras Medical College,Chennai.
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Introduction : Breast cancer is one of the most common cancers in women,requiring frequent surgical intervention. Adequate painrelief with parenteral and regional anaesthesia techniques improves respiratory outcome and decreases postoperative complications. Aim: To compare the postoperative analgesic efficacy and safety profile of thoracic epidural and thoracic paravertebral block using continuous infusion of bupivacaine in patients undergoing elective modified radical mastectomy. Materials and methods: A prospective randomized double-blinded study was conducted in 60 patients undergoing modified radical mastectomy under general anesthesia.30 patients in Group P received paravertebral block at T6-T7 level and 4 cm of catheter was directed cephalad,30 patients in group E received epidural block at T6-T7 level and 4 cm of catheter was directed cephalad .After extubation, the 0.125% bupivacaine infusion started, postoperative pain VAS score, haemodynamics and need for rescue analgesics observed and recorded Results:The statistical analysis showed that better hemodynamic stability was maintained in group P. However, in both the group P and group E postoperative analgesic efficacy was equally comparable. Conclusion:This study concludes that both thoracic epidural and thoracic paravertebral block provide comparable post operative analgesia in patients undergoing elective major breast surgery.

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[A. Ganesh, N.Sumathi and V. S. Yamini. (2018); COMPARISON OF POSTOPERATIVE ANALGESIC EFFICACY AND HAEMODYNAMIC STABILITY OF THORACIC EPIDURAL BLOCK VERSUS THORACIC PARAVERTEBRAL BLOCK USING CONTINUOUS INFUSION OF BUPIVACAINE IN PATIENTS UNDERGOING ELECTIVE MODIFIED RADICAL MASTECTOMY. Int. J. of Adv. Res. 6 (May). 993-1000] (ISSN 2320-5407). www.journalijar.com

Dr.N.Sumathi M.D.

DOI:

Article DOI: 10.21474/IJAR01/7121      
DOI URL: https://dx.doi.org/10.21474/IJAR01/7121

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