Thoracic epidural block - A sole anasthetic procedure for breast surgeries
Journal Title: Indian Journal of Clinical Anaesthesia - Year 2018, Vol 5, Issue 4
Abstract
Introduction Breast cancer is one of the most common cancers in middle and old aged females Oncological breast surgeries have commonly been performed under General Anaesthesia GA Thoracic Epidural Anaesthesia TEA is a safe and advantageous technique associated with fewer post surgical recovery complications shorter hospital stay and consequently decreased health care costs TEA provides better control of pain and provides satisfactory analgesia in postoperative period without any respiratory complicationsMaterials and Methods A prospective study was carried out in Anaesthesiology and Critical care department of Pt JNM Medical College and Dr BRAM Hospital Raipur CG in 40 female patients aged between 30 and 60 years with ASA grade I II III underwent for breast surgeries during February 2007 to July 2008 Pre operative assessment of the patient including history clinical examination and relevant investigations were done Pre operative assessment of the patient including history clinical examination and relevant investigations were done Explanation regarding procedure and consent was taken from all the patients The procedure and techniques were performed as per standard protocolObservations Maximum numbers of cases 32 cases 80 were in the age group of 4560 yrs Mean age in our study was 490 66 yrs The mean duration of onset of block was 767114min The mean duration was 117122890min In maximum number of patients 21 duration of surgery was 91120 min and mean duration of surgery was 12311316minPreoperative mean SBP was 120 745mm of Hg Intraoperative SBP ranged from 1198 702mm of Hg to 12515 843mm of Hg Preoperative mean DBP was 776 434mm of Hg Introperative DBP ranged from 71561mm of Hg to 77 463mm of Hg Preoperative mean of PR was 841 512min Intraoperative mean PR ranged from 804 441min to 8335 454min and minimum PR was 804 441min Preoperative mean of RR was 1452 13min It ranged between 1335 097min to 1427 093minConclusion It is concluded that TEA for breast surgeries is a safe and a reliable alternative of GA Keywords Thoracic epidural block Breast cancer surgery
Authors and Affiliations
Omprakash Sundrani, Durga Shankar Patel, Sanjay Goyal, A M. Lakara
Keywords
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- EP ID EP476472
- DOI 10.18231/2394-4994.2018.0090
- Views 102
- Downloads 0
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