Krishnakumar, M (2017) A Prospective randomised observer blinded comparitive study of serratus plane block and thoracic paravertebral block in conjuction with General anaesthesia in Modified radical mastectomy patients. Masters thesis, Stanley Medical College, Chennai.
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Abstract
BACKGROUND: Thoracic paravertebral block is a time tested technique for Postoperative pain management in MRM patients, the use of ultrasonogram has increased its use. While Serratus Plane block by USG is a newer technique and safer than paravertebral block in terms of hemodynamic instability, lesser complications and better postoperative analgesia. We evaluated the differences between the two techniques with regard to analgesic efficacy. AIM OF THE STUDY: To compare the efficacy of postoperative Analgesia of Thoracic paravertebral block and serratus Plane block in Ca breast patients undergoing MRM surgery. METHODS: Sixty patients (n= 60) undergoing elective MRM were randomly allocated into two groups. Group S (n=30), Serratus Plane Group (USG guided Serratus plane block, 30ml of 0.25% bupivacaine superficial to serratus plane muscle). Group P (n=30), Thoracic paravertebral block (USG guided thoracic paravertebral block 15-20ml of 0.25% bupivacaine). In all patients surgery was performed under GA. Post-operative pain was monitored with visual analogue scale. Postop fentanyl consumption and incidence of postoperative nausea and vomiting were measured. Hemodynamic parameters were monitored. Collected data was analysed using Student T test. RESULTS: Postoperative pain scores was better in serratus plane group and the time for first request for analgesia was more in serratus plane block group. The incidence of nausea vomiting was similar in both groups. Failure rate was more with group P (p= 0.02). There was 1 case of hypotension in paravertebral group. CONCLUSION: Serratus Plane block is better than Thoracic paravertebral block for postoperative analgesia after MRM. Serratus Plane block is easier to perform without hemodynamic instability when compared to thoracic paravertebral block.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | USG, Pecs block, Serratus plane block, Thoracic paravertebral block, General Anaesthesia, Ca Breast, MRM, Pectoralis major, Pectoralis minor, Serratus anterior. |
| Subjects: | MEDICAL > Anaesthesiology |
| Depositing User: | Subramani R |
| Date Deposited: | 21 Jul 2020 02:44 |
| Last Modified: | 21 Jul 2020 02:44 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/12602 |
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