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Volume 8 Issue 8 (August, 2020)

Original Articles

Comparison of paravertebral block vs erector spinae plane block in breast surgery patients
Dr. Abrar Mohammad, Col. (Retd.) Dr. Manish Gupta

Background: A mastectomy is complete removal of the breast tissue in patients diagnosed with breast cancer. The present study compared the analgesic effect of paravertebral block (TPVB) and erector spinae plane block (ESPB) in breast surgery patients. Materials & Methods: The present study was conducted on 60 adult female patients diagnosed with breast cancer. Patients were divided into 2 groups of 30 each. Group I patients receive TPVB and group II received ESPB. Results: ASA grade I was seen in 20 in group I and 22 in group II and grade II in 10 in group I and 8 in group II. Duration of surgery was 172.4 minutes in group and 170.1 minutes in group II, intra‑operative fentanyl consumption was 141.5 µg in group I and 134.2 µg in group II, total post‑operative morphine was 28.2 mg in group I and 26.1 mg in group II and time to first analgesic request was 6.15 hours in group I and 6.24 hours in group II. Post operative complications was nausea in 10 in group I and 8 in group II, vomiting in 4 in group I and 2 in group II and pneumothorax 5 in group I and 1 in group II. Conclusion: Authors found that Both TPVB and ESPB can be effectively used in reducing intra‑operative and post‑operative opioid consumption. Key words: Erector spinae plane block, Mastectomy, Thoracic paravertebral block

 
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