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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Bi‐Level Ultrasound Guided Erector Spinae Block V/S Paravertebral Block in Post Operative Analgesia After Breast Cancer Surgeries

Joginder Pal Attri, Ranjana Khetarpal, Harpreet Kaur and Komalpreet Kaur
Page: 486-492 | Received 12 Sep 2024, Published online: 29 Nov 2024

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https://doi.org/10.36478/makrjms.2024.12.486.492

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Abstract

Breast cancer is prevalent worldwide and the management of postoperative pain is crucial during the peri‐operative period. The aim of present study was to compare the efficacy of bi‐level ultrasound guided paravertebral block (PVB) with erector spinae block (ESP) for postoperative analgesia in breast cancer surgeries. A double blind, randomized controlled trial conducted on 60 patients (20‐60 years, ASA grade I and II), randomly assigned into two groups of 30 each, Group E (ESP) and group P (PVB) undergoing breast cancer surgeries under general anaesthesia. 15ml of 0.25% of bupivacaine with 4 mg dexamethasone was given at T2 and T6 level each in both the groups. The mean block procedure time, duration of analgesia using VAS Score, total rescue analgesia, hemodynamic changes, sedation score, patient and surgeon satisfaction score and any complications was compared. The total procedure time of block was significantly shorter (14.75±3.89 minutes) in Group E as compared to Group P (22.65±4.68 minutes) (p=0.001). The duration of analgesia was longer in group E (12.40±5.60 hours) as compared to group P (10.60±5.40 hours) but it was statistically nonsignificant (p=0.09). The total rescue analgesia doses in group E was 1.60±99 and in group P was 1.80±1.06 (p>0.05). VAS score was >three in both the groups and was statistically non‐significant (p>0.05) in first ten hours and it was

How to cite this article:

Joginder Pal Attri, Ranjana Khetarpal, Harpreet Kaur and Komalpreet Kaur. Bi‐Level Ultrasound Guided Erector Spinae Block V/S Paravertebral Block in Post Operative Analgesia After Breast Cancer Surgeries.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.486.492
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.486.492