Comparison of Analgesic Efficacy of Thoracic Erector Spinae Plane Block Versus Pectoral Block in Patients Undergoing Mastectomy

Authors

  • Aijaz Ali Department of Anesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Ghulam Sabir Department of Anesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Muhammad Rashid Iqbal Department of Anesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Kamil Hussain Qureshi Department of Anesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Mudassar Iqbal Department of Anesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Tariq Mehmmod Department of Anesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75i1.9876

Keywords:

Mastectomy, Opioids, Regional Anesthesia, Ultrasound Imaging, Visual Analogue Scale.

Abstract

Objective:  to assess the Analgesic efficacy of single-shot ultrasound guided Pectoral Block-II and Thoracic Erector Spine Plane Block were evaluated for postoperative pain in breast surgery.

Study Design: Quasi-experimental study.

Place and Duration of Study: Combined Military Hospital, Rawalpindi Pakistan, from Mar to Aug 2022.

Methodology: We enrolled 68 female patients in this study, who were between 25-55 years of age, booked for unilateral mastectomy and classified as American Society of Anesthesiologists I and II. They were divided randomly into two groups, where Group-M (n=34) received ultrasound guided Pectoral II Block and Group-N (n=34) received ultrasound guided Erector Spine Plane Block, with 25ml of 0.25% bupivacaine used in both groups. Pain was measured postoperatively by Visual Analog Scale for pain and 1g intravenous paracetamol was given 8 hourly with rescue pain-relieving Nalbuphine used if the score was greater than 4.

Results: Postoperatively nalbuphine consumption was found to be considerably less in patients on whom ultrasound guided Pectoral II Block was given compared to Group-N, while mean analgesia requirement was found to be 0.05±0.07882 mg/kg in Group-M compared with 0.1118±0.01 mg/kg in Group-N with p-value less than 0.007, which was statistically significant.

Conclusion: Ultrasound Guided Pectoral II Block is more significantly effective in female patients for relieving pain especially after having undergone unilateral mastectomy.

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Published

28-02-2025

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Original Articles

How to Cite

1.
Ali A, Sabir G, Iqbal MR. Comparison of Analgesic Efficacy of Thoracic Erector Spinae Plane Block Versus Pectoral Block in Patients Undergoing Mastectomy. Pak Armed Forces Med J [Internet]. 2025 Feb. 28 [cited 2025 Mar. 28];75(1):41-4. Available from: https://pafmj.org/PAFMJ/article/view/9876