The Effectiveness of Paravertebral Block Compared to Erector Spinae Plane Block in Treating Acute Pain Post-Modified Radical Mastectomy Surgery
Ketut Jaya Ningrat1,2*
Abstract
Background: Breast surgery is one of the most common operations among females. Management of postoperative pain is one parameter of the success of anesthesia and surgery. Therefore, it is important to look for innovations regarding newer anesthetic techniques that can be used to provide analgesia to manage acute or chronic pain. Some of the most popular peripheral nerve blocks are the erector spinae plane (ESPB) block and the paravertebral block (TPVB). The purpose of this systematic review is to measure the effectiveness of the erector spinae plane block, compared with paravertebral block and systemic analgesia in managing acute pain after modified radical mastectomy (MRM) surgery. Methods: This systematic review was carried out using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines published by Oxford University Media in the British Journal of Anesthesia. The author has conducted a comprehensive strategy to search and identify the TPVB and ESBP studies in adult female patients (aged> 18 years) who underwent any type of breast surgery. Results: Based on the analysis of the four studies that met the inclusion criteria, the author found no significant differences in relation to primary or secondary output from TPVB anesthesia techniques compared to ESBP. Conclusions: This review shows that both ESPB and TPVB are effective in reducing pain and opioid use after MRM. ESPB is simpler and faster to perform, making it a practical option.
Keywords
paravertebral block; block erector spinae plane; visual analogue score; modified radical mastectomy.
Cite This Article
Ningrat, K. J. (2024). The Effectiveness of Paravertebral Block Compared to Erector Spinae Plane Block in Treating Acute Pain Post-Modified Radical Mastectomy Surgery. International Journal of Scientific Advances (IJSCIA), Volume 5| Issue 6: Nov-Dec 2024, Pages 1782-1787, URL:https://www.ijscia.com/wp-content/uploads/2025/01/Volume5-Issue6-Nov-Dec-No.807-1782-1787.pdf Volume 5 | Issue 6: Nov – Dec 2024
