Paravertebral Catheter for Three-Level Injection in Radical Mastectomy: A Randomised Controlled Study.

ABSTRACT:

Introduction

Paravertebral block (PVB) is an alternative to general anaesthesia (GA) for breast surgery. However, for extensive surgery multiple punctures are needed increasing the immanent risk of the method. The purpose of this study was to evaluate PVB via catheter and injections at three different levels. Primary outcome was the quality of postoperative analgesia, in particular, the number of patients requiring additional morphine.

Methods

In a randomised single blinded clinical study patients scheduled for breast surgery including axillary approach, were randomly allocated to different anaesthetic techniques, n = 35 each. Patients received either GA with sevoflurane or PVB with catheter at level Th 4. In PVB-patients a 1:2 mixture of bupivacaine 0.5% and lidocaine 2% wi

SUBMITTER: Sundarathiti P 

PROVIDER: S-EPMC4461276 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature