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Research Articles Issue 1 · 2022 · pp. 177–183 · Issue page

THE EFFICIENCY OF THE PARAVERTEBRAL BLOCK IN BREAST SURGERY COMPARED TO GENERAL ANAESTHESIA

TI
Tiberiu-Ștefăniță ȚENEA-COJAN1
AL
Alin PĂTRU2
AL
Alina Maria VÎLCEA3
SI
Simona Alina BĂNICIOIU4
GA
Gabriel MOGOȘ5
DE
Denisa-Ancuța POPA-ION6
AL
Alexandru CURCĂ-CERCEL7
AN
Ana-Maria IFRIM-PREDOI8
DA
Daniel-Cristian PÎRVU9
VL
Vlad BĂLEANU10
1 CFR Hospital, Surgery Department, Craiova, Romania, University of Medicine and Pharmacy, Craiova, Romania
2 Department of Anesthesiology and Intensive Care, University Emergency Hospital Craiova, Romania, University of Medicine and Pharmacy, Craiova, Romania
3 SCJU Hospital, Department of Dermatology, Craiova, Romania, University of Medicine and Pharmacy, Craiova, Romania
4 CFR Hospital, Reumathology Department, Craiova, Romania, University of Medicine and Pharmacy, Craiova
5 CFR Hospital, Surgery Department, Craiova, Romania, University of Medicine and Pharmacy , Craiova
6 CFR Hospital, Surgery Department, Craiova, Romania, University of Medicine and Pharmacy, Craiova
7 CFR Hospital, Surgery Department, Craiova, Romania, University of Medicine and Pharmacy, Craiova
8 CFR Hospital, Surge ry Department, Craiova, Romania, University of Medicine and Pharmacy, Craiova
9 Department of Internal Medicine, University of Medicine and Pharmacy of Craiova, 2 Petru Rares Street, 200349 Craiova, Romania
10 MD, Assistant professor, „Constantin Brâncuși” University of Târgu Jiu, Romania
DOI https://doi.org/10.38173/RST.2022.23.1.20:177-183
Received 21 December 2021
Revised 22 January 2022
Accepted 30 January 2022
Available Online 15 March 2022
Abstract
INTRODUCTION: THE PARAVERTEBRAL BLOCK REPRESENTS AN ANAESTHETIC TECHNIQUE DONE MAINLY IN BREAST SURGERY AND IN THORACIC SURGERY, EITHER AS A SOLE ANAESTHETIC TECHNIQUE, EITHER FOR POSTOPERATIVE ANALGESIA. OBJECTIVES: WE STUDIED THE EFFICIENCY OF THE PARAVERTEBRAL BLOCK IN BREAST ONCOLOGY SURGERY AS AN ANAESTHETIC TECHNIQUE COMPARED TO GENERAL ANAESTHESIA, AND WE FOLLOWED THE SURGICAL ACT, THE PACIENT’S COMFORT, POSTANAESTHETIC ADVERSE EFFECTS AND POSTOPERATIVE ANALGESIA. MATERIALS: IN THE STUDY GROUP WE HAD 14 PATIENTS, 7 HAD UNILATERAL PARAVERTEBRAL BLOCK WITH OR WITHOUT LIGHT SEDATION AND 7 HAD GENERAL ANAESTHESIA WITH OROTRAHEAL INTUBATION. THE PATIENTS GAVE THEIR CONSENT FOR THE BLOCK AFTER RECEIVING INFORMATION REGARDING THE BENEFITS AND THE RISKS FOLLOWING THE TECHNIQUE. THE BLOCKS HAD BEEN MADE UNDER ULTRASOUND GUIDANCE, IN ASEPTIC CONDITIONS. RESULTS: BASED ON THE RESULTS, WE SHOWED THAT THE PATIENTS WITH PARAVERTEBRAL BLOCK FOR BREAST SURGERY WITH OR WITHOUT LIGHT SEDATION HAD SURGICAL COMFORT, HAD PROPER ANALGESIA DURING AND AFTER SURGERY FOR 12-15 HOURS, NO NAUSEA AND VOMITING WERE RECORDED COMPARED TO THE GENERAL ANAESTHESIA GROUP, DID NOT NEED IV OR ORAL ANALGESIA DURING THE DAY OF SURGERY, HAD EARLY MOBILISATION. CONCLUSION: UNILATERAL PARAVERTEBRAL BLOCK FOR BREAST SURGERY IS AN EFFICIENT ANAESTHETIC TECHNIQUE FOR BREAST RESECTION AS LONG AS AXILARY LYMPH NODE RESECTION IS NOT NEEDED. PARAVERTEBRAL BLOCK OFFERS SURGICAL AND ANALGETIC BENEFITS.
Keywords
BREAST CANCE R GENERAL ANAESTHESIA PARAVERTEBRAL BLOCK
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