ISSN 0975-3583
 

Journal of Cardiovascular Disease Research



    A STUDY TO DETERMINE EFFECTIVENESS OF DEXMEDITOMIDINE IN ERECTOR SPINAE PLANE BLOCK FOR POSTOPERATIVE ANALGESIA IN PATIENTS UNDERGOING MODIFIED RADICAL MASTECTOMY


    Dr. Sanket Site, Dr. Twinkle Kewalramani,Dr. Deepesh Gupta, Dr. Rajkumar Ahirwal
    JCDR. 2024: 306-312

    Abstract

    Modified radical mastectomy (MRM) is associated with significant postoperative pain for which many blocks are given. Erector spinae plane (ESP) block is a recently described technique. We planned to use dexmedetomidine in erector spinae block to determine its efficacy and safety in ultrasound‑guided ESP block for postoperative analgaesia following MRM. Methodology- 30 patients belonging to ASA physical status I and II, aged 25–60 years, undergoing MRM were included in the study. Ipsilateral block was given preoperatively at T3 or T4 level with 20 ml of 0.5% bupivacaine and 20 µg dexmedetomidine. Pain was assessed using visual analogue scale (VAS) till 24hours. Data collected from the patients and analysed. Result: All 30 patients who were given the block did not complain of pain in 12 hrs post operatively. Only 2 patients ( ie. 6.66% of total ) complained of pain between the period of 12-18 hrs and 6 patients ( ie. 20 of total ) complained of pain between 18-24 hrs. Conclusion: Erector spinae plane block is an effective measure to tackle post- operative pain in patients undergoing modified radical mastectomy ( MRM ). Addition of dexmeditomidine potentiates the block and prolongs post-operative analgesia.

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    Volume & Issue

    Volume 15 Issue 2

    Keywords