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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.
Linköping University, Department of Biomedical and Clinical Sciences, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, ANOPIVA US.ORCID iD: 0000-0002-5903-2918
Suez Canal Univ, Egypt.
2022 (English)In: BMC Anesthesiology, ISSN 1471-2253, E-ISSN 1471-2253, Vol. 22, no 1, article id 189Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
BMC , 2022. Vol. 22, no 1, article id 189
Keywords [en]
Erector spinae plane block; Modified radical mastectomy; Paravertebral block; Postoperative pain
National Category
Anesthesiology and Intensive Care
Identifiers
URN: urn:nbn:se:liu:diva-186488DOI: 10.1186/s12871-022-01724-3ISI: 000812642100001PubMedID: 35717148OAI: oai:DiVA.org:liu-186488DiVA, id: diva2:1677805
Note

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

Available from: 2022-06-28 Created: 2022-06-28 Last updated: 2022-08-04

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Sjöberg, Folke
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Division of Surgery, Orthopedics and OncologyFaculty of Medicine and Health SciencesANOPIVA US
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