Abstract

The aim of the present study was to observe and compare post-operative analgesic efficacy of Ultrasound-guided Thoracic Paravertebral block and Ultrasound-guided Serratus anterior plane block in the form of VAS score. Methods: The proposed study was conducted on total of 60 female patients, aged 18-65 years, ASA grade I and II, posted for elective unilateral MRM surgery at Nehru hospital, B.R.D medical college, Gorakhpur after approval from ethical committee and written informed consent from all patients in between the duration of December 2017-November 2018. Results: In the present study, 60 females were included in the study. In group I, 19 patients were in ASA I and 18 patients in ASA II respectively. We observed that mean surgical time was comparable in group I and group II 1.90+0.20h vs 1.87+0.23h respectively and mean time of sensory blockade was 17.80+3.18 vs 19.10+3.26 in group I and group II respectively. Median VAS score at rest, we observed that the score was in group I vs group II respectively at 1h, 2(2-2) vs2(1-2), 6h 2(1-2) vs 2(2-2), 12h 2(2-3) vs 2(2-2.25), 18h 2(2-4) vs 3(2-3), 24h 2(2-3) vs 3(3-4) post operatively. Median VAS score on abduction of arm we observed that the score was in group I vs group II respectively at 1h 3(2.75-3) vs 3(3-3), 6h 3(2-3.25) vs 3(2-3), 12h 3(2-4) vs 3(3-4), 18h 3(3-4) vs 4(3-5) and 24h 3(2.75-4) vs 4(4-5) post operatively. Time taken for first rescue analgesia (duration of block) was in Group I (20.18 ± 5.55h) as compared to Group II (18.00 ± 3.21h). Out of 30 patients, in Group I (20 patients) and in Group II (21 patients) did not required any rescue analgesia in 24h. Conclusion: The results obtained in our study indicate TPVB provides effective postoperative analgesia for patients undergoing modified radical mastectomy. TPVB offer significant advantages in terms of postoperative pain, postoperative fentanyl consumption and patient satisfaction

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