EFFICACY OF THORACIC SEGMENTAL SPINAL ANESTHESIA ALONG WITH UNILATERAL ERECTOR SPINAE BLOCK IN PATIENTS UNDERGOING UNILATERAL MODIFIED RADICAL MASTECTOMY AND AXILLARY DISSECTION: A NOVEL MULTICENTRIC STUDY

Objectives: The aim of the study was to find out efficacy thoracic segmental spinal anesthesia combined with unilateral erector spinae block in patients undergoing modified radical mastectomy and axillary lymph node dissection Methods: This a prospective cohort which 40 carcinoma breast under were included on basis predefined inclusion exclusion criteria. Erector plane given at T5 level then T5–T6 same position by median or paramedian technique. Patients assessed for severity pain visual analog scale score till 24 h surgery. Results: mean age studied cases found be 44.12±10.04 years. Mean weight 54.38±9.8 kg, whereas duration surgery 98.24±16.86 min. most common American Society Anesthesiologists (ASA) grade belonged ASA III (55%) followed II (30%) I (15%). Eleven required rescue analgesia within first after doses 1st 0.92±0.48. Four (10%) developed hypotension, three (7.5%) had bradycardia. However, all these 7 (17.5%) transient bradycardia hypotension could managed IV Atropine mephentermine fluid bolus. Conclusion: Thoracic is an excellent option dissection.