Comparison of Paravertebral Block with Spinal Anaesthesia in Unilateral Inguinal Hernia Repair

*, Aswin.A.B and *, Suresh Y. V (2015) Comparison of Paravertebral Block with Spinal Anaesthesia in Unilateral Inguinal Hernia Repair. International Journal of Scientific and Research Publications, 5 (2). pp. 1-4. ISSN 2250-3153

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Abstract

Aim: The aim of our study was to evaluate the efficacy of Paravertebral block in unilateral inguinal hernia repair comparing with spinal anaesthesia with respect to post operative analgesia, ambulation, perioperative and postoperative complications. Paravertebral block can be used as an alternative to spinal anaesthesia in unilateral inguinal hernia repair. It offers better hemodynamic control, prolonged post operative analgesia and early ambulation compared to spinal anaesthesia. METHODS: Total of 60males patients of ASA 1, 2 with age 18-65 years were taken up for study. They were randomly assigned into two groups group P and group S with 30 in each group. Paravertebral block was given as 2 segment block at T10 and L1.Both groups received propofol infusion titrated to light sleep. RESULTS: The time of first rescue post operative analgesia was taken as primary outcome and was 348±39 min. in group P and 207±26 min. in group S (p < 0.001).Time of ambulation was 249± 20 min. in group P and 371±18 min. in group S (p< 0.001). Incidence of urinary catheterization was higher in group S (p < 0.05). No Patients in group P were catheterized. No patients of group S bypassed recovery room CONCLUSION: It can be concluded that paravertebral block is efficacious to spinal anaesthesia in unilateral inguinal hernia repair with respect to prolonged analgesia, early ambulation and decreasing complications seen with spinal anaesthesia

Item Type: Article
Uncontrolled Keywords: Thoraco-lumbar Paravertebral block, Spinal anaesthesia, Inguinal hernia Repair, post operative analgesia,Visual acuity scale, Early ambulation
Subjects: Medicine > KMC Mangalore > Anaesthesiology
Depositing User: KMCMLR User
Date Deposited: 22 Feb 2016 14:56
Last Modified: 22 Feb 2016 14:56
URI: http://eprints.manipal.edu/id/eprint/145385

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