Paravertebral anaesthesia with or without sedation versus general anaesthesia for women undergoing breast cancer surgery

CONCLUSIONS: Moderate-certainty evidence shows that paravertebral anaesthesia probably reduces PONV, hospital stay, postoperative pain (at 2 hours), and time to ambulation and results in greater patient satisfaction on the first postoperative day compared to general anaesthesia. Paravertebral anaesthesia may also reduce postoperative analgesic use and postoperative pain at 6 and 24 hours at rest and on movement based on low-certainty evidence. However, RCTs using validated questionnaires are needed to confirm these results. Adverse events observed with paravertebral anaesthesia are rare.PMID:33629404 | DOI:10.1002/14651858.CD012968.pub2

Source: Cochrane Database of Systematic Reviews - February 25, 2021 Category: General Medicine Authors: Anjolie Chhabra Apala Roy Chowdhury Hemanshu Prabhakar Rajeshwari Subramaniam Mahesh Kumar Arora Anurag Srivastava Mani Kalaivani Source Type: research