COMPARATIVE EVALUATION OF THORACIC EPIDURAL VERSUS THORACIC PARAVERTEBRAL BLOCK FOR POST THORACOTOMY PAIN RELIEF WITH 0.25% BUPIVACAINE

Dr.R.Mala; Dr. G. Suresh Kumar

Volume : VI, Issue : X, October - 2017

COMPARATIVE EVALUATION OF THORACIC EPIDURAL VERSUS THORACIC PARAVERTEBRAL BLOCK FOR POST THORACOTOMY PAIN RELIEF WITH 0.25% BUPIVACAINE

Dr. R. Mala, Dr. G. Suresh Kumar

Abstract :

Thoracic Epidural blockade is compared with thoracic paraverteal blockade with 0.25%Bupivacaine in patients undergoing thoracotomy for surgical procedures like closed mitral commissurotomy for mitral stenosis, resection of lung segment, pneumonectomy, surgical repair of oesophageal perforation etc. Post thoracotomy pain is of very severe nature which when not relieved could lead to postoperative pulmonary complications. Post thoracotmy analgesia provided by thoracic epidural block and thoracic paraverteal block is comparable but there is more incidence of hypotension in thoracic epidural blockade because of bilateral sympathetic blockade when compared to thoracic paraverteal blockade. < clear="all" style="page–eak–before:always;mso–eak–type:section–eak" />