EFFICACY OF THORACIC PARAVERTEBRAL BLOCK ANESTHESIA IN BREAST AUGMENTATION SURGERY.
Journal Title: International Journal of Advanced Research (IJAR) - Year 2018, Vol 6, Issue 9
Abstract
Elective cosmetic Breast augmentation is a highly accomplished operation in Kingdom of Saudi Arabia, it can be combined with prominent post-operative pain being a source of concern for patients and their healthcare providers. General anesthesia (GA) has been a standard technique for this surgery. Methodology: A retrospective chart review of 131 patients was conducted at king Abdul Aziz Medical City, Jeddah in the period of 2002-2012. Our study sample was 60 patients divided into two groups, one who underwent GA alone, and the other one underwent GA with bilateral single injection at single level T3-T4 TPVB of 0.2-0.5% bupivacaine + epinephrine 5 mcg/ml (1:200000) before the induction of GA. The primary outcome assessed was the amount of post-operative analgesic use in both groups in the 1st 24 hours. Results: Overall, the patients\' traits and anesthetic technique were proportionate between the two groups. Bilateral single injection TPVB significantly decrease the need for analgesics (=10.549, 1df, P= 0.001), and antiemetic needs (=16.98,1df,P=0). There was a statistically difference in the duration of hospital stay between the 2 groups (=4.23, 1df, P=0.04). The pain visual analogue score in the group with the TPVB was significantly decreased (=4.23, 1df, P=0.01). Conclusion: we found a statistically significant difference between both groups, which present efficacy of using TPVB. We advocate the use of TPVB in all breast augmentations.
Authors and Affiliations
Sarh Alaeed, Rahaf Mandura, Maan Kattan, Basim Alsaywid, Wesam Abuznadah.
Keywords
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- EP ID EP400591
- DOI 10.21474/IJAR01/7641
- Views 99
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