A STUDY COMPARING EFFECTIVENESS OF THORACIC EPIDURAL AND PARAVERTEBRAL BLOCK FOR POST THORACOTOMY PAIN RELIEF

DR JITENDRA KUMAR MEENA; DR ZARA WANI; DR MEENAXI SHARMA

Volume : VII, Issue : III, March - 2018

A STUDY COMPARING EFFECTIVENESS OF THORACIC EPIDURAL AND PARAVERTEBRAL BLOCK FOR POST THORACOTOMY PAIN RELIEF

Dr Jitendra Kumar Meena, Dr Zara Wani, Dr Meenaxi Sharma

Abstract :

Objective: To compare the effects of thoracic epidural and thoracic paraverteal block in post thoracotomy pain relief and early ambulation.< style="mso–special–character:line–eak" /> < style="mso–special–character:line–eak" />

Material and Method: Thoracic epidural block was given in group–A while thoracic paraverteal block was given in group–B patients post operatively. Pain scores were assessed at 30 min intervals after the dose of 0.25% Bupivacaine using visual analogue scale (VAS).< style="mso–special–character:line–eak" /> < style="mso–special–character:line–eak" />

Results: There was no significant difference for pain scores in first 24 hours after surgery between paraverteal block (PVB) and thoracic epidural group measured at 30 min interval. But complication like hypotension occurred less with PVB.< style="mso–special–character:line–eak" /> < style="mso–special–character:line–eak" />

Conclusion: Paraverteal block is a safe and effective technique and can to be used more widely for unilateral post thoracotomy pain relief.