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Evaluation of ultrasound guided thoracic paravertebral block in perioperative pain management in patients undergoing modified radical mastectomy /

Neveen Nazmy Nazir Gerges Metias

Evaluation of ultrasound guided thoracic paravertebral block in perioperative pain management in patients undergoing modified radical mastectomy / دورالحقن الجار فقاري للفقرات الصدريه الموجه بواسطة الموجات فوق الصوتية في التحكم بالألم الناتج عن الجراحة للمرضى الذين يخضعون لاستئصال الثدي الجذري المعدل Neveen Nazmy Nazir Gerges Metias ; Supervised Inas Mohamed Elshazly , Mohamad Ahmed Mansour , Amany Hassan Saleh - Cairo : Neveen Nazmy Nazir Gerges Metias , 2015 - 102 P. : charts , facsimiles ; 25cm

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Anaesthesia

This study demonstrate that, ultrasound guided thoracic paravertebral block (TPVB) is an effective intraoperative and postoperative technique for surgical anaesthesia and analgesia for breast surgery (e.g. MRM). It offers a long-lasting effective analgesia with a significant decrease in anaesthetic and analgesic consumption, and with a high degree of patient satisfaction, decrease the incidence of PONV and shorten length of hospital stay. Ultrasound guidance helps identifying the paravertebral space (PVS), needle placement, and to real time monitor the spread of the local anesthetic around nerves which increase the efficacy of the block and minimize the risk of complications



MRM PVB US