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Case Studies | Anaesthesiology | India | Volume 13 Issue 4, April 2024 | Rating: 5.2 / 10
Utilization of Paravertebral Block in Post Operative Analgesia in Cases of Nephrectomy: A Case Series
Dr. Kota Teja | Dr. Sayani Dan
Abstract: Background: Nephrectomy, whether partial or radical, is associated with significant postoperative pain. Adequate pain management is crucial for patient comfort and recovery. Paravertebral block (PVB) has emerged as a promising regional anesthesia technique for providing effective analgesia following various surgical procedures. However, its specific role in nephrectomy remains underexplored. Methods: We present a case series of 10 patients who underwent nephrectomy and received PVB for postoperative analgesia. Patient demographics, surgical details, PVB technique, postoperative pain scores, opioid consumption, and complications were recorded. Results: 10 patients (mean age 45yrs); (6 male and 4 female) underwent nephrectomy and received PVB. The PVB was performed unilaterally at T8 - T9 vertebral level. Postoperative pain scores were significantly reduced in all patients, with 4 pain score after 24 hrs. Opioid consumption was notably decreased postoperatively. No major complications related to PVB were observed in our series. Conclusion: Paravertebral block demonstrates promising outcomes for postoperative analgesia following nephrectomy. It effectively reduces postoperative pain scores and opioid consumption, potentially contributing to enhanced recovery and patient satisfaction. Further prospective studies with larger sample sizes are warranted to validate these findings and establish PVB as a standard analgesic modality in nephrectomy patients.
Keywords: Nephrectomy, Paravertebral block, PVB, postoperative analgesia, opioid consumption, patient recovery, ThPVB
Edition: Volume 13 Issue 4, April 2024,
Pages: 308 - 311