Erector spinae plane block versus thoracic paravertebral block for pain management after total bilateral mastectomies

Jesse W. Stewart, Jenny Ringqvist, Rachel D. Wooldridge, Deborah E. Farr, Mary Sunna, Cedar Schulz, John C. Alexander, Abu Minhajuddin, Irina Gasanova, Girish P. Joshi

Research output: Contribution to journalArticlepeer-review

Abstract

This prospectively designed, clinical quality improvement project compared pain scores and opioid consumption between ultrasound-guided, erector spinae plane blocks (ESPB) and thoracic paravertebral blocks (PVB) in patients undergoing total bilateral mastectomies without reconstruction. Twenty-five patients were included in an enhanced recovery pathway and received an ESPB on one side and a PVB on the contralateral side. Numeric rating scores at rest and with movement for each side were recorded in the recovery room at 2, 6, 12, 24, and 48 hours and on days 3 to 7. There were no significant differences in the resting or movement-evoked pain scores between sides receiving ESPB or PVB at any time point up to day 7 after surgery. Both ESPB and PVB confer equal analgesic effects in patients undergoing mastectomies. ESPB provides an alternative to PVB in reducing postoperative pain in patients undergoing mastectomy as part of an enhanced recovery pathway.

Original languageEnglish (US)
Pages (from-to)571-574
Number of pages4
JournalBaylor University Medical Center Proceedings
Volume34
Issue number5
DOIs
StatePublished - 2021
Externally publishedYes

Keywords

  • Enhanced recovery pathways
  • erector spinae plane block
  • mastectomy
  • postoperative pain
  • regional anesthesia
  • thoracic paravertebral block

ASJC Scopus subject areas

  • Medicine(all)

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