Ultrasound –Guided Erector Spinae Plane Block for Postoperative Analgesia after Breast Surgery

Authors

Sabry Ibrahim Abd-Allah, Department of Anesthesiology, Intensive care and Pain management, Faculty of Medicine, Menoufia University, Egypt
Raghda Gamal EL-basyouni, Department of Anesthesiology, Intensive care and Pain management, Faculty of Medicine, Menoufia University, EgyptFollow
Ghada A. Hassan, Department of Anesthesiology, Intensive care and Pain management, Faculty of Medicine, Menoufia University, Egypt
Ahmed Mohamed Helwa, Department of Anesthesiology, Intensive care and Pain management, Faculty of Medicine, Menoufia University, Egypt

Subject Area

Anesthesiology

Article Type

Original Study

Abstract

Objectives: To evaluate the effect of the erector spinae plane block (ESPB) on postoperative pain after breast surgeries, evaluated by visual analogue scale (VAS), time to first rescue analgesia and 24 hours post-operative consumption of analgesia. Background: Post-operative analgesia after breast surgeries is a challenge for anesthesiologists. ESPB can be considered a safe alternative to the paravertebral block (PVB). Methods: This prospective and single-blinded randomized controlled study was conducted on sixty patients with ASA I and II, aged ≥ 18 to ≤ 60 years, scheduled for elective breast surgeries. Patients were divided equally into two groups, group (1) received only general anesthesia, and group (2) received US-guided ESPB with 20 ml of 0.25% bupivacaine and 8mg dexamethasone after general anesthesia. Results: The ESPB group showed a significantly lower VASstatic score than the control group at 0 time, 2h, and 4h postoperatively (p

Recommended Citation

Abd-Allah, Sabry Ibrahim; EL-basyouni, Raghda Gamal; Hassan, Ghada A.; and Helwa, Ahmed Mohamed (2024) "Ultrasound –Guided Erector Spinae Plane Block for Postoperative Analgesia after Breast Surgery," Menoufia Medical Journal: Vol. 37: Iss. 2, Article 3.
DOI: https://doi.org/10.59204/2314-6788.1132