International Journal of Medical and Health Research

International Journal of Medical and Health Research


International Journal of Medical and Health Research
International Journal of Medical and Health Research
Vol. 5, Issue 3 (2019)

Effect of analgesia in in pectoral nerve block among ropivacaine and dexmedetomidine for breast cancer surgery


Vishakha Nagar, Sushil Bhati, Neelu Sharma

Aims and objective: The study was done to compare the effect of dexmedetomidine as an adjuvant to ropivacaine versus ropivacaine alone in ultrasound guided pec block in breast cancer surgeries. Material and Methods: The hospital based randomized comparative interventional study included sixty ASA physical status I and II patients undergoing elective breast cancer surgery and were divided into two groups of 30 each. Group A received 30 ml of ropivacaine 0.25% for pec block. Group B received 30 ml of ropivacaine 0.25% with 1μg/kg of dexmedetomidine for pec block. The parameters observed include: Time for requirement of first rescue analgesia (duration of analgesia), total analgesic consumption, haemodynamic parameters (HR, SBP, DBP, MBP) and Spo2 and side effect/complications if any. Results: Duration of analgesic, NRS score, total analgesic consumption, total sedation score were showed statistically significant results. The mean baseline systolic blood pressure, diastolic blood pressure and mean arterial pressure were comparable in both the groups Conclusion: The addition of 1µg/kg dexmedetomidine to ropivacaine in Pecs block is associated with a significantly prolonged duration of postoperative analgesia and decreased postoperative analgesic (opioid) requirement as compared to ropivacaine alone.
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How to cite this article:
Vishakha Nagar, Sushil Bhati, Neelu Sharma. Effect of analgesia in in pectoral nerve block among ropivacaine and dexmedetomidine for breast cancer surgery. International Journal of Medical and Health Research, Volume 5, Issue 3, 2019, Pages 202-207
International Journal of Medical and Health Research