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Comparison between erector spinae plane block and paravertebral block regarding postoperative analgesic consumption following breast surgery: a randomized controlled study
Suez Canal Univ, Egypt.
Suez Canal Univ, Egypt; Sahlgrens Univ Hosp, Sweden.
Linköpings universitet, Institutionen för biomedicinska och kliniska vetenskaper, Avdelningen för kirurgi, ortopedi och onkologi. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, ANOPIVA US.ORCID-id: 0000-0002-5903-2918
Suez Canal Univ, Egypt.
2022 (Engelska)Ingår i: BMC Anesthesiology, ISSN 1471-2253, E-ISSN 1471-2253, Vol. 22, nr 1, artikel-id 189Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Pain control following breast surgery is of utmost importance in order to reduce the chance of chronic pain development, and facilitate early rehabilitation. The erector spinae plane block (ESPB) is a recently developed regional anaesthesia procedure successfully used for different types of surgical procedures including thoracic and abdominal surgeries. Methods: A double-blind, randomized, controlled trial was conducted on 90 patients who were scheduled for modified radical mastectomy (MRM). Patients were randomly categorized into groups I (women who underwent ESPB), II (women who underwent paravertebral block (PVB), and III (women who underwent general anaesthesia). Results: The ESPB (4.9 +/- 1.2 mg) and PVB (5.8 +/- 1.3 mg) groups had significantly lower total morphine consumption than the control group had (16.4 +/- 3.1 mg; p < 0.001). Notably, patients in the ESPB group had insignificantly lower morphine consumption than those in the PVB group had (p= 0.076). Moreover, patients in the ESPB and PVB groups had a significantly longer time to first required anaesthesia than those in the control group (7.9 +/- 1.2 versus 7.5 +/- 0.9 versus 2 +/- 1.2 h, respectively; p<0.001).The postoperative visual analog scale scores were lower in the ESPB and PVB groups than in the control group on the first 24 h after the procedure (p< 0.001). Conclusion: ESPB and PVB provide effective postoperative analgesia for women undergoing MRM. The ESPB appears to be as effective as the PVB.

Ort, förlag, år, upplaga, sidor
BMC , 2022. Vol. 22, nr 1, artikel-id 189
Nyckelord [en]
Erector spinae plane block; Modified radical mastectomy; Paravertebral block; Postoperative pain
Nationell ämneskategori
Anestesi och intensivvård
Identifikatorer
URN: urn:nbn:se:liu:diva-186488DOI: 10.1186/s12871-022-01724-3ISI: 000812642100001PubMedID: 35717148OAI: oai:DiVA.org:liu-186488DiVA, id: diva2:1677805
Anmärkning

Funding Agencies|Science, Technology & Innovation Funding Authority (STDF); Egyptian Knowledge Bank (EKB)

Tillgänglig från: 2022-06-28 Skapad: 2022-06-28 Senast uppdaterad: 2022-08-04

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Avdelningen för kirurgi, ortopedi och onkologiMedicinska fakultetenANOPIVA US
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