A comparative study of respiratory effects of erector spinae plane block versus paravertebral plane block for women undergoing modified radical mastectomy

Faculty of Medicine

Assiut University

A comparative study of respiratory effects of erector spinae plane block versus paravertebral plane block for women undergoing modified radical mastectomy

Research Authors
Jehan Ahmed Sayed, Rasha Hamed, Abdelraouf MS Abdelraouf, Noha Yahia Mohammd El-Hagagy, Mahmoud Bahaa El dean Mousa, Amani H Abdel-Wahab
Research Date
Research Department
Department of  Anesthesia and Intensive Care
Research Journal
BMC anesthesiology
Research Member
Mahmoud Bahaa El-Dean Mousa Hassan
Jehan Ahmed Sayed Ahmed Alloul
Rasha Hamed Shehata
Noha Yahia Mohammd
Amani Hasan Abdel-Wahab Syed
Research Publisher
BioMed Central
Research Vol
24
Research Year
2024
Research_Pages
262
Research 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 …