The patient's satisfaction criteria were better in group I than group
II (Table 6).
The incidences of postoperative side effects were higher in group II than group I as regards to coughing/laryngospasm, sore throat, nausea and vomiting and shivering (Table 8).
Features Group I (N=50) Group II (N=50) P value
Pain relief [n (%)] 48 (96%) 46 (92%) 0.042
Comfort [n (%)] 48 (96%) 46 (92%) 0.03
Overall satisfaction [n
(%)]
48(96%) 46 (92%) 0.04
Accept the same anesthesia 48 (96%) 46(92%) 0.02
Table 6: Patient’s satisfaction. N= Numbers of the patients.
Muscle power (%) RAM score criteria
100 0 Able to rise from supine to sitting position with hands behind head
80 1 Can sit only with arms extended
60 2 Can lift only head and scapulae off bed
40 3 …show more content…
N= Numbers of the patients.
Discussion
Our study demonstrated that, combined spinal/ paravertebral block anesthesia provides good surgical condition with stable hemodynamic, prolonged postoperative analgesia and fewer side effects when compared to general anesthesia …show more content…
Our result could be explained by the fact that, the administration of two different anesthesia by different routes on the same patient resulted in improved quality, effectiveness and less side effects.
Combined Spinal /paravertebral anesthesia was chosen in our study; because spinal anesthesia provides fast, reliable anesthesia and good muscle relaxation to start the surgery and the duration of anesthesia can be prolonged with a catheter in the paravertebral space. The
Combined Spinal /paravertebral block have many advantages which include, small doses of local anesthetic is used, adequate motor block, and excellent analgesia, no airway manipulation, intact reflexes, and no risk of aspiration.
In the present study, The HR and MABP showed significant increase in group II after intubation which can be explained by the stress response to laryngoscopy and intubation. While the hemodynamic parameters remained almost stable in group I.
Injection of local anesthetic into the paravertebral space results in unilateral block of somatic and sympathetic nerve which lead to anesthesia which resemble unilateral epidural block which
II (Table 6).
The incidences of postoperative side effects were higher in group II than group I as regards to coughing/laryngospasm, sore throat, nausea and vomiting and shivering (Table 8).
Features Group I (N=50) Group II (N=50) P value
Pain relief [n (%)] 48 (96%) 46 (92%) 0.042
Comfort [n (%)] 48 (96%) 46 (92%) 0.03
Overall satisfaction [n
(%)]
48(96%) 46 (92%) 0.04
Accept the same anesthesia 48 (96%) 46(92%) 0.02
Table 6: Patient’s satisfaction. N= Numbers of the patients.
Muscle power (%) RAM score criteria
100 0 Able to rise from supine to sitting position with hands behind head
80 1 Can sit only with arms extended
60 2 Can lift only head and scapulae off bed
40 3 …show more content…
N= Numbers of the patients.
Discussion
Our study demonstrated that, combined spinal/ paravertebral block anesthesia provides good surgical condition with stable hemodynamic, prolonged postoperative analgesia and fewer side effects when compared to general anesthesia …show more content…
Our result could be explained by the fact that, the administration of two different anesthesia by different routes on the same patient resulted in improved quality, effectiveness and less side effects.
Combined Spinal /paravertebral anesthesia was chosen in our study; because spinal anesthesia provides fast, reliable anesthesia and good muscle relaxation to start the surgery and the duration of anesthesia can be prolonged with a catheter in the paravertebral space. The
Combined Spinal /paravertebral block have many advantages which include, small doses of local anesthetic is used, adequate motor block, and excellent analgesia, no airway manipulation, intact reflexes, and no risk of aspiration.
In the present study, The HR and MABP showed significant increase in group II after intubation which can be explained by the stress response to laryngoscopy and intubation. While the hemodynamic parameters remained almost stable in group I.
Injection of local anesthetic into the paravertebral space results in unilateral block of somatic and sympathetic nerve which lead to anesthesia which resemble unilateral epidural block which