TY - BOOK AU - Ahmed Mohamed Ali Abdalwahab AU - Mohamed Ahmed Mansour , AU - Randa Ismail Badawy , AU - Sahar Sayed Badawy , TI - Efficacy and safety of thoracic paravertebral block in breast surgery : : Blind-landmarks- technique vs Ultrasound guided technique / PY - 2015/// CY - Cairo : PB - Ahmed Mohamed Ali Abdalwahab , KW - Perioperative pain KW - PVB KW - US N1 - Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Anaesthesia; Issued also as CD N2 - This study demonstrates that, ultrasound guided thoracic paravertebral block (TPVB) is an effective intraoperative and postoperative technique for surgical anaesthesia and analgesia for breast surgery . 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. ER -