Document Detail


Unilateral paravertebral block: an alternative to conventional spinal anaesthesia for inguinal hernia repair.
MedLine Citation:
PMID:  19839949     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Inguinal herniorrhaphy can be successfully performed using general, regional or local anaesthesia. Paravertebral block (PVB) has been used for unilateral procedures such as thoracotomy, breast surgery, chest wall trauma, hernia repair or renal surgery. METHODS: We compared unilateral lumbar PVB with conventional spinal anaesthesia (SA) in 60 consenting ASA I and II males aged 18-65 years, scheduled for unilateral inguinal hernia repair. Patients were randomly assigned into two groups, P (n=30) or S (n=30) to receive either PVB or SA, respectively. Two patients (7%) in group P had to be converted to general anaesthesia due to block failure. During surgery, patients of both groups received intravenous infusion of propofol titrated to light sedation. RESULTS: The time to first post-operative analgesic requirement (primary outcome measure) as 342 +/- 73 min in group P and 222 +/- 22 min in group S (P<0.0001). Time to ambulation was 234 +/- 111 min in group P and 361 +/- 32 min in group S (P<0.0001). Urinary retention requiring catheterization were found in zero (0%) patients in group P compared with five (16%) in group S (P=0.024). CONCLUSION: It can be concluded that unilateral PVB is more efficacious than conventional SA in terms of prolonging post-operative analgesia and reducing morbidities in patients undergoing elective unilateral inguinal hernia repair.
Authors:
P Bhattacharya; M C Mandal; S Mukhopadhyay; S Das; P P Pal; S R Basu
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial     Date:  2009-10-15
Journal Detail:
Title:  Acta anaesthesiologica Scandinavica     Volume:  54     ISSN:  1399-6576     ISO Abbreviation:  Acta Anaesthesiol Scand     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-18     Completed Date:  2010-03-04     Revised Date:  2010-04-09    
Medline Journal Info:
Nlm Unique ID:  0370270     Medline TA:  Acta Anaesthesiol Scand     Country:  England    
Other Details:
Languages:  eng     Pagination:  246-51     Citation Subset:  IM    
Affiliation:
Department of Anaesthesiology, North Bengal Medical College, Darjeeling, West Bengal, India.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Analgesics / therapeutic use
Anesthesia Recovery Period
Anesthesia, Spinal / adverse effects,  methods*
Anesthetics, Intravenous / administration & dosage
Anesthetics, Local / administration & dosage
Blood Pressure / drug effects
Bupivacaine / administration & dosage
Hernia, Inguinal / surgery*
Humans
Lidocaine / administration & dosage
Male
Middle Aged
Nerve Block / adverse effects,  methods*
Pain Measurement
Pain, Postoperative / prevention & control
Postoperative Nausea and Vomiting / etiology
Propofol / administration & dosage
Spinal Nerve Roots / drug effects*
Time Factors
Urinary Retention / etiology
Walking / physiology
Young Adult
Chemical
Reg. No./Substance:
0/Analgesics; 0/Anesthetics, Intravenous; 0/Anesthetics, Local; 137-58-6/Lidocaine; 2078-54-8/Propofol; 2180-92-9/Bupivacaine
Comments/Corrections
Erratum In:
Acta Anaesthesiol Scand. 2010 Mar;54(3):395

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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