Regional analgesia and breast cancer surgery.
ABSTRACT Breast cancer surgery is frequently associated with postoperative nausea, vomiting, pain and painful restricted movement. It is well established that thoracic paravertebral block with or without general anesthesia provides better postoperative analgesia and reduces the risk of nausea and vomiting after breast surgery as well as the incidence of chronic pain. Paravertebral block improves the quality of recovery after breast cancer surgery and provides the patient with the option of ambulatory discharge.
- SourceAvailable from: Serbülent Gökhan Beyaz[show abstract] [hide abstract]
ABSTRACT: Thoracic paravertebral block (TPVB) is an alternative method to general anesthesia because of provides a safe anesthesia with balanced hemodynamic response, allows postoperative pain control by means of catheter and has low side effect profile. TPVB performed safely for the pa- tients undergoing breast cancer surgery with the same reason, has used in too few center instead of general an- esthesia. This technique provides an adequate anesthe- sia for the patients undergoing breast surgery and in ad- dition provides stable hemodynamic status with unilateral somatic and sympathetic blockade, near-perfect control of postoperative pain, minimal nausea and vomiting rate, early discharge and low cost. For this reason, thoracic paravertebral block which is a standard method in breast surgeries for some centers should be known by all an- esthesiologists. We believe that, thoracic paravertebral block is a method can be applied instead of general an- esthesia. Key words: Paravertebral block, thoracic, breast surgery, regional anesthesiaDicle Med J. 01/2012; 3(4):594-603.