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General Anaesthesia Versus Paravertebral Anaesthesia with General Anesthesia in Mastectomy: Comparative Surgical Outcome

Sushil Kumar , Uday Pratap1 , Sushil Kumar2 , Mahesh Verma3 , Ruchi Gupta4

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Indian Journal of Anesthesia and Analgesia 7(5):p 1095-1099, September – October 2020. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.7520.32

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Sushil Kumar, Uday Pratap, Ruchi Gupta, et al. Comparative Effect of Etomidate and Thiopentone on the Heart Rate and respiratory Rate for Induction of General Anesthesia. Indian J Anesth Analg. 2020;7(5):1095–1099
 

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Abstract

Introduction: Paravertebral nerve blocks provide excellent pain relief and inhibit the neuroendocrine stress response to surgical trauma, which suggests that a very high quality afferent block can be affected. Aim was to assess the efficacy of paravertebral block use in conjunction with general anaesthesia for better postoperative pain management in comparison to general anaesthesia alone.

Materials and Methods: As per the criteria total of 120 patients were included in the study. Group A received general anaesthesia only and group B patients received paravertebral block long with general anaesthesia. All patients underwent preoperative assessment prior to surgery. The patients were instructed on the use of the Visual Analogue Scale (VAS 0–10) and Numerical Rating Scale (NRS 0–4).

Results: When VAS score of both the groups are compared the score in group B was found to be lower than in group A. When NRS score of both the groups are compared the score in group B was found to be lower than in comparison to group A.

Conclusion: Paravertebral block reduces incidence of postoperative nausea and vomiting in comparison to general anaesthesia alone. Paravertebral block leads to significantly reduced consumption of opioids in the postoperative period in comparison to general anaesthesia alone.


 

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Sushil Kumar, Uday Pratap, Ruchi Gupta, et al. Comparative Effect of Etomidate and Thiopentone on the Heart Rate and respiratory Rate for Induction of General Anesthesia. Indian J Anesth Analg. 2020;7(5):1095–1099
 

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.7520.32

Keywords

Anesthesia; Breast Cancer; Paravertebral; Mastectomy

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