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Comparative Studies | Anaesthesiology | India | Volume 12 Issue 2, February 2023
Post Operative Pain Management of Patients under-Going Modified Radical Mastectomy Using Thoracicpara Vertebral Block: Comparison of Ropivacainevs Ropivacaine with Dexmedetomidine
Dr. Yellapu Jhansi Lakshmi | Dr. Joga Aparna [4] | Dr. G Vijaya Lakshmi | Dr. Anil Kumari [3]
Abstract: Background: Effective pain control after surgery is an important part of taking care of someone who had undergone surgery. Paravertebral block is an effective regional anesthetic technique that can provide significant analgesia for breast surgeries. Aim of the study is to compare the effectiveness of thoracic paravertebral block (TPVB) using Ropivacaine (0.5%) or Ropivacaine (0.5%) with Dexmedetomidine (1?g /kg) in patients undergoing modified radical mastectomy. Methods: Fifty American Society of Anaesthesiologists physical statusI/II patients posted for breast cancer surgery were randomly assigned into two groups of 25 each. Group R received thoracic PVB with 20 mL of Ropivacaine 0.5%. Group RD received thoracic PVB with 20 mL of Ropivacaine 0.5% + 1 ?g/kg Dexmedetomidine. Time of first analgesics request, total analgesic consumption, VAS score, hemodynamic, sedation score and side effects in the first 24 hours were recorded. Results: VAS score was less in group R when compared to group RD. MOSAS score was similar in both the groups. Duration of analgesia and time of 1st analgesic requirement is more in group RD when compared to group R. Conclusion: The addition of dexmedetomidine 1 ?g/kg to Ropivacaine 0.5% in PVB in patients undergoing breast cancer surgery improves the quality and the duration of analgesia postoperatively.
Keywords: Thoracic para vertebral block, ropivacaine, dexmedetomidine, breast surgeries, VAS score, MOSAS score, analgesia, anesthesia, duration of analgesia, better, post operative pain control
Edition: Volume 12 Issue 2, February 2023,
Pages: 1147 - 1150