Comparison between thoracic paravertebral block and segmental thoracic spinal anesthesia in breast cancer surgery

ABSTRACT:

Background

Thoracic paravertebral block (TPVB) and segmental thoracic spinal anesthesia (STSA) can be used as sole anesthesia techniques alternative to general anesthesia for modified radical mastectomy in some critical patients. Both techniques were compared for efficacy and safety including detailed block characteristics, analgesia, patient’s and surgeon’s satisfaction, hemodynamics, respiration, and side effects.

Results

Both techniques were successful, but fentanyl requirements were higher in TPVB group. The sensory loss was faster, wider, and longer in STSA group; however, it was associated with more hypotension. There was no motor block in the upper or lower limbs in TPVB group, while all patients in STSA group showed ipsilateral handgrip affection and to less exten

SUBMITTER: Mazy A 

PROVIDER: S-EPMC9734493 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature