A Prospective Observational Study to Assess the Efficacy of Thoracic Epidural Anaesthesia for Mastectomy

Vineetha, Prabhakaran; Ramadas, Konnanath Thekkethil; Sajid, Binu; Biji, Kannammadathy Poulose

doi:10.21276/aimdr.2017.3.3.an2

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…16 However, the use of TEA is limited due to the fear of its adverse effects which include hypotension, bradycardia, axillary sparing and neurological complications. Hypotension with TEA is common and has been reported in studies by Balzarena et al 17 and Vineetha et al 18 The hypotension occurs partly due to its cardio depressant activity and partly due to the functional hypovolemia caused by the inhibition of vasoconstrictor sympathetic outflow. 12 In our study, patients in the bupivacaine group had more pronounced hypotension as compared to the subjects in the ropivacaine group.…”

Section: Discussionmentioning

confidence: 91%

Comparison between bupivacaine and ropivacaine in thoracic epidural anaesthesia for modified radical mastectomy – A randomized controlled trial

Aswini¹,

Chavan²,

Ganesan³

et al. 2020

IJCA

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Background: Modified radical mastectomies (MRM) is conventionally done under general anaesthesia. Various regional anesthetic techniques have also been used to provide effective analgesia in the perioperative period. This study was to compare the analgesia and hemodynamic effects of bupivacaine and ropivacaine when used in thoracic epidural for modified radical mastectomy. Methods: 67 patients scheduled for MRM were enrolled in the study. They were randomized into two groups -Group R and Group B. Through an epidural catheter inserted at T5-T6, the patients in Group R received 12ml of 0.5% ropivacaine whereas those in group B received 12 ml of 0.5% bupivacaine.After one hour, 4 ml of the test drug was repeated every 30 minutes till the end of surgery. Intraoperative hemodynamic, side effects and postoperative VAS scores were recorded. 60 patients completed the study and their results were analyzed. Results: Statistically significant differences were observed in heart rate and mean arterial pressure between the two groups at various time intervals. The mean time of onset of the analgesia was shorter in Ropivacaine group 12.90±2.04mins, 19.27±5.51 in the Bupivacaine group. Post operative VAS scores were similar in both the groups. Patients in both groups were equally satisfied. Conclusion: High thoracic epidural is a safe and reliable alternative to general anaesthesia in modified radical mastectomies. Ropivacaine 0.5% is preferred due to its faster onset, better hemodynamic stability and good analgesia.

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Section: Discussionmentioning

confidence: 91%

Comparison between bupivacaine and ropivacaine in thoracic epidural anaesthesia for modified radical mastectomy – A randomized controlled trial

Aswini¹,

Chavan²,

Ganesan³

et al. 2020

IJCA

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“…Paracetamol, powerful medicine, physical therapy, acupuncture, and local anesthetic infiltration [thoracic epidural, PVBs, Pecs I, Pecs II, and ESP blocks] are some of the various options for pain management after radical mastectomy [9,20] . Our findings are in agreement with those of a Gürkan et al [21] 's approved research.…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study between Superficial Erector Spinae Muscle Block versus Deep Erector Spinae Muscle Block for Assessment of Pain Control during Radical Mastectomy Procedures

Abdelazeem,

Elmeliegy,

Shaboob

et al. 2024

International Journal of Medical Arts

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Article informationBackground and Aim of the work: The superficial erector spinae muscle block or deep erector spinae muscle block is an effective approach for analgesia in thoracic surgical and chest trauma, providing excellent pain relief while reducing narcotic requirements. Our study compares superficial erector spinae muscle block versus deep erector spinae muscle block for assessment of pain during radical mastectomy procedures. Patients and Methods:The patients were randomized into two groups of 30 each. Group I received 20 mL of 0.25% bupivacaine superficial to erector spinae muscle at the T4 level, while those in Group II received 20 mL of 0.25% bupivacaine deep to erector spinae muscle at the T4 level.Results: As regards VAS, there was a significant decline [P = 0.001] in the middle VAS in group II when distinguished from group I at 12 h and a statistically significant decline [P = 0.035] at 8 h postoperatively. Also, as regards the moment of truth of first rescue analgesic, skilled was a considerably longer in group II when compared with group I [p value= 0.005], and the total measurement of morphine devouring was considerably lower in group II [6 ± 2 mg/24 h] when distinguished from group I [9 ± 2 mg/24 h]. Conclusion:Superficial erector spinae muscle block may be used as a method for controlling pain after radical mastectomy, but deep erector spinae muscle block is more effective than it.

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A Prospective Observational Study to Assess the Efficacy of Thoracic Epidural Anaesthesia for Mastectomy

Abstract: Background:We conducted a prospective observational study to find out the effectiveness, complications and technical

Cited by 2 publications

References 9 publications

Comparison between bupivacaine and ropivacaine in thoracic epidural anaesthesia for modified radical mastectomy – A randomized controlled trial

Comparison between bupivacaine and ropivacaine in thoracic epidural anaesthesia for modified radical mastectomy – A randomized controlled trial

A Comparative Study between Superficial Erector Spinae Muscle Block versus Deep Erector Spinae Muscle Block for Assessment of Pain Control during Radical Mastectomy Procedures

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