Brachial Plexus Block for Pain Relief after Modified Radical Mastectomy

1982 ◽  
Vol 61 (12) ◽  
pp. 986???987 ◽  
Author(s):  
A. Fassoulaki
Author(s):  
Shilpi Sethi ◽  
Manish Sethi

Thoracic paravertebral block (TPVB) is an effective and time-tested regional anesthesia (RA) technique of anesthesia/analgesia for breast surgeries. It can be performed by landmark guided, peripheral nerve stimulator (PNS) guided or ultrasound-guided techniques. We used PNS guided TPVB for carcinoma breast surgery in fifteen high-risk patients where general anesthesia was not feasible. All patients had undergone surgeries under standalone RA techniques and without any block-related complications. We describe 15 cases in which PNS guided TPVB and supraclavicular brachial plexus block were performed to conduct modified radical mastectomy under RA and monitored anesthesia care. Keywords: Paravertebral block, Supraclavicular brachial plexus block, Carcinoma breast, Postoperative analgesia.


2021 ◽  
pp. 8-10
Author(s):  
Showkat Ahmad Bhat ◽  
Gulam Jeelani Bhat ◽  
Tanveer Ahmad Bhat ◽  
Showkat Gurcoo ◽  
Khalid Sofi ◽  
...  

Introduction: Since the 80's, clonidine has been used as an adjunct to local anesthetics agents in various regional techniques to extend the duration of block. The results of previous studies on the usefulness of clonidine on brachial plexus block have been mixed. To evaluate the efcacy of clonidine, as Material and Methods: an adjunct to the ropovacaine in supraclavicular branchial plexuses on the onset and duration of sensory and motor block. Observations and Results: the onset of sensory and motor bock is the same whether patients receive ropivacaine alone or in combination with clonidine. However duration of both sensory and motor block is signicantly prolonged in Ropivacaine and clonidine group . Clonidine Hcl can s Conclusion: afely be used as an adjunct to local anesthetic agent in supraclavicular brachial plexus block to enhance onset and duration of sensory and motor block and provide better postoperative pain relief in upper limb surgeries.


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