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Comparative Studies | Anaesthesiology | India | Volume 12 Issue 2, February 2023 | Rating: 4.9 / 10
To Study the Thoracic Epidural Analgesia for Breast Oncological Procedures: A Better Alternative to General Anesthesia - A Comparison between Thoracic Epidural and General Anesthesia
Dr. Joga Aparna [4] | Dr. Madduru Swetha Vahana Reddy | Dr. G. Vijaya Lakshmi [5] | Dr. Madala Krishnaveni [2]
Abstract: Introduction: Breast cancer is the most common cancer in elderly women and the incidence of breast cancer is increasing in India. Aim of the study is to compare general anaesthesia and thoracic epidural anaesthesia in patients undergoing breast cancer surgeries. Methods: Adult women patients from ASA I and ll between ages 30 - 65 years of age were enrolled for the study. Thoracic epidural was given to patients in group - I (n=30) and general anesthesia to group II ? (n=30). Intraoperative hemodynamic parameters, side effects like nausea and vomiting, hemodynamic stability, quality of postoperative analgesia were recorded. Results: Postoperative incidence of nausea and vomiting was more in general anesthesia group. The intensity of pain and consumption of analgesics were lower in the thoracic epidural group. Incidence of heart rate variability and hypotension were more common in thoracic epidural group as compared to general anesthesia group whereas hypertension was more frequent among general anesthesia group. Conclusion: The thoracic epidural technique not only provided hemodynamic stability, decreased the incidence of post op nausea and vomiting but also significantly enhanced intraoperative and postoperative analgesia.
Keywords: General anaesthesia, thoracic epidural anaethesia, xylocaine, postoperative analgesia, haemodynamic stability
Edition: Volume 12 Issue 2, February 2023,
Pages: 1268 - 1270