Comparing Analgesia Effect Of Postoperative Thoracic Para Vertebral Block Sand Intercostal Nerve Block For Unilateral Thoracotomy.

Background: Thoracotomy is one of the most painful operative procedures. Ineffectivernpostoperative pain management practice in this procedure will result in physiological andrnpsychosocial deterioration which increases the risk of morbidity and mortality. This can bernreduced by ensuring adequate analgesia using multimodal technique with regional blocks. So farrnepidural block is the gold standard, intercostal, and paravertebral blocks are the alternativesrnwhich results in somatic and sympathetic blockade of multiple dermatomes and reduce pain. rnObjective: To assess the postoperative analgesia effect of postoperative thoracic paravertebralrnnerve block (TPVB) and intercostal nerve block (ICNB) for unilateral thoracotomy in AddisrnAbaba from December 25, 2019 to April 30, 2020 GC. rnMethod: A prospective cohort study was conducted on 56 patients who were selected byrnsystematic random sampling technique from December 25, 2019 to April 30, 2020 GC.Patientsrnin the paravertebral group received a block by 0.25% bupivacaine at thoracic vertebral level4-7rnand those in the intercostal group received a block by 0.25% bupivacaine at thoracic vertebralrnlevel3-8.Data collection was done by perioperative observation and patient interview for 24hour.rnThe analysiswas done by independentt-test, Mann Whitney U test for parametric andrnnonparametricquantitative variables respectively; Fisher’s exact testor chi square test forrnqualitative variablesP

Get Full Work

Report copyright infringement or plagiarism