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A comparative study of respiratory effects of erector spinae plane block versus paravertebral plane block for women undergoing modified radical mastectomy.
Sayed, Jehan Ahmed; Hamed, Rasha; Abdelraouf, Abdelraouf Ms; El-Hagagy, Noha Yahia Mohammd; El Dean Mousa, Mahmoud Bahaa; Abdel-Wahab, Amani H.
Afiliación
  • Sayed JA; Anesthesia and Intensive Care Department, Faculty of Medicine, Assiut University, Asyut, Egypt.
  • Hamed R; Anesthesia and Intensive Care Department, Faculty of Medicine, Assiut University, Asyut, Egypt.
  • Abdelraouf AM; Anesthesia and Intensive Care Department, Faculty of Medicine, Assiut University, Asyut, Egypt.
  • El-Hagagy NYM; Anesthesia and Intensive Care Department, Faculty of Medicine, Assiut University, Asyut, Egypt.
  • El Dean Mousa MB; Anesthesia and Intensive Care Department, Faculty of Medicine, Assiut University, Asyut, Egypt.
  • Abdel-Wahab AH; Anesthesia and Intensive Care Department, Faculty of Medicine, Assiut University, Asyut, Egypt. amanyabdelwhab@aun.edu.eg.
BMC Anesthesiol ; 24(1): 262, 2024 Jul 30.
Article en En | MEDLINE | ID: mdl-39080545
ABSTRACT

BACKGROUND:

Inadequate acute postoperative pain control after modified radical mastectomy (MRM) can compromise pulmonary function. This work aimed to assess the postoperative pulmonary effects of a single-shot thoracic paravertebral block (TPVB) and erector spinae plane block (ESPB) in female patients undergoing MRM.

METHODS:

This prospective, randomized comparative trial was conducted on 40 female American Society of Anesthesiologists (ASA) II-III, aged 18 to 50 years undergoing MRM under general anesthesia (GA). Patients were divided into two equal groups (20 in each group) Group I received ESPB and Group II received TPVB. Each group received a single shot with 20 ml volume of 0.5% bupivacaine.

RESULTS:

Respiratory function tests showed a comparable decrease in forced vital capacity (FVC) and forced expiratory volume (FEV1) from the baseline in the two groups. Group I had a lower FEV1/FVC ratio than Group II after 6 h. Both groups were comparable regarding duration for the first postoperative analgesic request (P value = 0.088), comparable postoperative analgesic consumption (P value = 0.855), and stable hemodynamics with no reported side effects.

CONCLUSION:

Both ultrasound guided ESPB and TPVB appeared to be effective in preserving pulmonary function during the first 24 h after MRM. This is thought to be due to their pain-relieving effects, as evidenced by decreased postoperative analgesic consumption and prolonged time to postoperative analgesic request in both groups. GOV ID NCT03614091 registration date on 13/7/2018.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Postoperatorio / Mastectomía Radical Modificada / Bloqueo Nervioso Límite: Adult / Female / Humans / Middle aged Idioma: En Revista: BMC Anesthesiol Año: 2024 Tipo del documento: Article País de afiliación: Egipto Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Postoperatorio / Mastectomía Radical Modificada / Bloqueo Nervioso Límite: Adult / Female / Humans / Middle aged Idioma: En Revista: BMC Anesthesiol Año: 2024 Tipo del documento: Article País de afiliación: Egipto Pais de publicación: Reino Unido