The midpoint transverse process to pleura (MTP) block for postoperative analgesia in patients undergoing modified radical mastectomy: A case series
Among the various regional anesthesia techniques used for postoperative analgesia in the modified radical mastectomy (MRM), thoracic paravertebral block (TPVB) is presently considered the technique of choice. Nevertheless, TPVB may lead to complications like inadvertent vascular puncture, hypotensio...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Anaesthesiology Clinical Pharmacology |
| Subjects: | |
| Online Access: | http://www.joacp.org/article.asp?issn=0970-9185;year=2023;volume=39;issue=4;spage=648;epage=650;aulast=Kumar |
| _version_ | 1797245297093509120 |
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| author | Rakesh Kumar Sadik Mohammed Bharat Paliwal Manoj Kamal Swati Chhabra Pradeep Bhatia Rashmi Syal |
| author_facet | Rakesh Kumar Sadik Mohammed Bharat Paliwal Manoj Kamal Swati Chhabra Pradeep Bhatia Rashmi Syal |
| author_sort | Rakesh Kumar |
| collection | DOAJ |
| description | Among the various regional anesthesia techniques used for postoperative analgesia in the modified radical mastectomy (MRM), thoracic paravertebral block (TPVB) is presently considered the technique of choice. Nevertheless, TPVB may lead to complications like inadvertent vascular puncture, hypotension, epidural or intrathecal spread, pleural puncture, or pneumothorax. Recently, a newer technique “midpoint transverse process to pleura” (MTP) block has been described in which the tip of the needle is placed at the midpoint between the transverse process and pleura. In this case series, we included ten patients of American Society of Anesthesiologist status I/II scheduled for MRM. Ultrasound-guided MTP block was performed and the catheter was inserted on the side of the surgery at the level of T4 level. The block was successful in the all patients as their median visual analogue score at rest and movement was 2 and 3, respectively, in first 24 h postoperatively. Only three patients required rescue analgesia in the first 24 h. No procedural-related complications were noticed in any patient. We concluded that MTP block provided effective perioperative analgesia with minimal rescue analgesia requirement and satisfactory safety profile. |
| first_indexed | 2024-04-24T19:24:40Z |
| format | Article |
| id | doaj.art-d2154df4218545fa83c177c002dc450d |
| institution | Directory Open Access Journal |
| issn | 0970-9185 |
| language | English |
| last_indexed | 2024-04-24T19:24:40Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Anaesthesiology Clinical Pharmacology |
| spelling | doaj.art-d2154df4218545fa83c177c002dc450d2024-03-25T15:51:53ZengWolters Kluwer Medknow PublicationsJournal of Anaesthesiology Clinical Pharmacology0970-91852023-01-0139464865010.4103/joacp.joacp_147_22The midpoint transverse process to pleura (MTP) block for postoperative analgesia in patients undergoing modified radical mastectomy: A case seriesRakesh KumarSadik MohammedBharat PaliwalManoj KamalSwati ChhabraPradeep BhatiaRashmi SyalAmong the various regional anesthesia techniques used for postoperative analgesia in the modified radical mastectomy (MRM), thoracic paravertebral block (TPVB) is presently considered the technique of choice. Nevertheless, TPVB may lead to complications like inadvertent vascular puncture, hypotension, epidural or intrathecal spread, pleural puncture, or pneumothorax. Recently, a newer technique “midpoint transverse process to pleura” (MTP) block has been described in which the tip of the needle is placed at the midpoint between the transverse process and pleura. In this case series, we included ten patients of American Society of Anesthesiologist status I/II scheduled for MRM. Ultrasound-guided MTP block was performed and the catheter was inserted on the side of the surgery at the level of T4 level. The block was successful in the all patients as their median visual analogue score at rest and movement was 2 and 3, respectively, in first 24 h postoperatively. Only three patients required rescue analgesia in the first 24 h. No procedural-related complications were noticed in any patient. We concluded that MTP block provided effective perioperative analgesia with minimal rescue analgesia requirement and satisfactory safety profile.http://www.joacp.org/article.asp?issn=0970-9185;year=2023;volume=39;issue=4;spage=648;epage=650;aulast=Kumaranalgesiamodified radical mastectomypatient satisfactionpostoperative periodultrasound |
| spellingShingle | Rakesh Kumar Sadik Mohammed Bharat Paliwal Manoj Kamal Swati Chhabra Pradeep Bhatia Rashmi Syal The midpoint transverse process to pleura (MTP) block for postoperative analgesia in patients undergoing modified radical mastectomy: A case series Journal of Anaesthesiology Clinical Pharmacology analgesia modified radical mastectomy patient satisfaction postoperative period ultrasound |
| title | The midpoint transverse process to pleura (MTP) block for postoperative analgesia in patients undergoing modified radical mastectomy: A case series |
| title_full | The midpoint transverse process to pleura (MTP) block for postoperative analgesia in patients undergoing modified radical mastectomy: A case series |
| title_fullStr | The midpoint transverse process to pleura (MTP) block for postoperative analgesia in patients undergoing modified radical mastectomy: A case series |
| title_full_unstemmed | The midpoint transverse process to pleura (MTP) block for postoperative analgesia in patients undergoing modified radical mastectomy: A case series |
| title_short | The midpoint transverse process to pleura (MTP) block for postoperative analgesia in patients undergoing modified radical mastectomy: A case series |
| title_sort | midpoint transverse process to pleura mtp block for postoperative analgesia in patients undergoing modified radical mastectomy a case series |
| topic | analgesia modified radical mastectomy patient satisfaction postoperative period ultrasound |
| url | http://www.joacp.org/article.asp?issn=0970-9185;year=2023;volume=39;issue=4;spage=648;epage=650;aulast=Kumar |
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