Role of erector spinae plane block versus paravertebral block in pain control after modified radical mastectomy. A prospective randomised trial
Background and Aims: Thoracic paravertebral block (TPVB) provides effective analgesia in breast surgery. Recently, use of erector spinae plane block (ESPB) in controlling post-operative pain has proved effective. This study aimed to compare the effect of ESPB with TPVB in post-mastectomy acute pain...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Indian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2019;volume=63;issue=12;spage=1008;epage=1014;aulast=El |
| _version_ | 1818367256661327872 |
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| author | Mona Raafat El Ghamry Asmaa Fawzy Amer |
| author_facet | Mona Raafat El Ghamry Asmaa Fawzy Amer |
| author_sort | Mona Raafat El Ghamry |
| collection | DOAJ |
| description | Background and Aims: Thoracic paravertebral block (TPVB) provides effective analgesia in breast surgery. Recently, use of erector spinae plane block (ESPB) in controlling post-operative pain has proved effective. This study aimed to compare the effect of ESPB with TPVB in post-mastectomy acute pain control. Methods: A prospective, randomised double-blinded study enrolled 70 adult female patients, scheduled for modified radical mastectomy. Patients were randomised into two groups, receiving 20 ml of 0.25% bupivacaine: group I (TPVB) and group II (ESPB). Post-operative 24 h morphine consumption, intra-operative fentanyl consumption, time of the first request for analgesia and post-operative visual analogue scale (VAS), heart rate (HR), mean blood pressure (MBP) and complications were recorded. Results: Post-operative 24 h morphine consumption and time of the first request for analgesia were comparable between both groups (P = 0.32 and 0.075, respectively). There was no significant difference in the intra-operative fentanyl consumption. There was also no significant difference in VAS between both groups over the 24 h of study. Four patients in group I developed pneumothorax with no significant differences between both groups (P = 0.114). Incidence of nausea and vomiting was comparable between both groups. All patients displayed a stable haemodynamic profile. Conclusion: Both TPVB and ESPB can be effectively used in controlling post-mastectomy pain and reduce intra-operative and post-operative opioid consumption. |
| first_indexed | 2024-12-13T22:49:10Z |
| format | Article |
| id | doaj.art-2b41c68ae3c248019bb0a8d7430c6dc1 |
| institution | Directory Open Access Journal |
| issn | 0019-5049 0976-2817 |
| language | English |
| last_indexed | 2024-12-13T22:49:10Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-2b41c68ae3c248019bb0a8d7430c6dc12022-12-21T23:28:40ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50490976-28172019-01-0163121008101410.4103/ija.IJA_310_19Role of erector spinae plane block versus paravertebral block in pain control after modified radical mastectomy. A prospective randomised trialMona Raafat El GhamryAsmaa Fawzy AmerBackground and Aims: Thoracic paravertebral block (TPVB) provides effective analgesia in breast surgery. Recently, use of erector spinae plane block (ESPB) in controlling post-operative pain has proved effective. This study aimed to compare the effect of ESPB with TPVB in post-mastectomy acute pain control. Methods: A prospective, randomised double-blinded study enrolled 70 adult female patients, scheduled for modified radical mastectomy. Patients were randomised into two groups, receiving 20 ml of 0.25% bupivacaine: group I (TPVB) and group II (ESPB). Post-operative 24 h morphine consumption, intra-operative fentanyl consumption, time of the first request for analgesia and post-operative visual analogue scale (VAS), heart rate (HR), mean blood pressure (MBP) and complications were recorded. Results: Post-operative 24 h morphine consumption and time of the first request for analgesia were comparable between both groups (P = 0.32 and 0.075, respectively). There was no significant difference in the intra-operative fentanyl consumption. There was also no significant difference in VAS between both groups over the 24 h of study. Four patients in group I developed pneumothorax with no significant differences between both groups (P = 0.114). Incidence of nausea and vomiting was comparable between both groups. All patients displayed a stable haemodynamic profile. Conclusion: Both TPVB and ESPB can be effectively used in controlling post-mastectomy pain and reduce intra-operative and post-operative opioid consumption.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2019;volume=63;issue=12;spage=1008;epage=1014;aulast=Elerector spinae plane blockmodified radical mastectomyparavertebral blockpost-operative painultrasoundvisual analogue scale |
| spellingShingle | Mona Raafat El Ghamry Asmaa Fawzy Amer Role of erector spinae plane block versus paravertebral block in pain control after modified radical mastectomy. A prospective randomised trial Indian Journal of Anaesthesia erector spinae plane block modified radical mastectomy paravertebral block post-operative pain ultrasound visual analogue scale |
| title | Role of erector spinae plane block versus paravertebral block in pain control after modified radical mastectomy. A prospective randomised trial |
| title_full | Role of erector spinae plane block versus paravertebral block in pain control after modified radical mastectomy. A prospective randomised trial |
| title_fullStr | Role of erector spinae plane block versus paravertebral block in pain control after modified radical mastectomy. A prospective randomised trial |
| title_full_unstemmed | Role of erector spinae plane block versus paravertebral block in pain control after modified radical mastectomy. A prospective randomised trial |
| title_short | Role of erector spinae plane block versus paravertebral block in pain control after modified radical mastectomy. A prospective randomised trial |
| title_sort | role of erector spinae plane block versus paravertebral block in pain control after modified radical mastectomy a prospective randomised trial |
| topic | erector spinae plane block modified radical mastectomy paravertebral block post-operative pain ultrasound visual analogue scale |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2019;volume=63;issue=12;spage=1008;epage=1014;aulast=El |
| work_keys_str_mv | AT monaraafatelghamry roleoferectorspinaeplaneblockversusparavertebralblockinpaincontrolaftermodifiedradicalmastectomyaprospectiverandomisedtrial AT asmaafawzyamer roleoferectorspinaeplaneblockversusparavertebralblockinpaincontrolaftermodifiedradicalmastectomyaprospectiverandomisedtrial |