COMPARISON OF THE PERIOPERATIVE ANALGESIC OUTCOMES OF THORACIC PARAVERTEBRAL BLOCK VERSUS ERECTOR SPINAE PLANE BLOCK IN REDUCTION MAMMAPLASTY SURGERIES: A RETROSPECTIVE COHORT STUDY

Emre Sertaç Bingül; Emıne Aysu Salvız; Mert Canbaz; Mehmet Güzel; Erol Kozanoğlu; Meltem Karadeniz

Article Details

COMPARISON OF THE PERIOPERATIVE ANALGESIC OUTCOMES OF THORACIC PARAVERTEBRAL BLOCK VERSUS ERECTOR SPINAE PLANE BLOCK IN REDUCTION MAMMAPLASTY SURGERIES: A RETROSPECTIVE COHORT STUDY

Authors:

Emre Sertaç Bingül | Emıne Aysu Salvız | Mert Canbaz | Mehmet Güzel | Erol Kozanoğlu | Meltem Karadeniz

Publisher:

Istanbul University

Main Topics:

Clinical Sciences

Journal:

Journal of Advanced Research in Health Sciences Vol.6 Issue 2, pp.129-135

Document Type:

Article

Publication Date:

6/2023

Document Language:

English

Document ID (Org No.):

2001302265

pISSN:

2651-4060

Keywords:

Abstract:

 Objective: Thoracic paravertebral block TPVB and Erector spinae plane block ESPB are the most preferred regional analgesia techniques for breast surgeries. However, the literature is still lack of reliable evidence to prove superiority of one over another. We hypothesized that TPVB would provide better pain control for the acute postoperative period. Material and Methods: In this retrospective cohort study, macromastia patients who underwent bilateral reduction mammaplasty surgery were grouped according to the regional technique performed prior to general anesthesia induction that are provided with 0.375 bupivacaine bilaterally TPVB or ESPB. Presurgery 10th min, 20th min, and 30th min and postoperative number of dermatomal sensory block, and postoperative pain scores were screened which referred to postoperative 0 minute,1st hour, 2nd hour, 4th hour, 6th hour, 12th hour, 24th hour and 48th hour examination. Intraoperative and postoperative analgesic administration, and comfort parameters such as time-to-first pain, nausea-vomiting PONV incidence, sleep duration, complications and patientsurgeon satisfaction scores were also investigated. Results: Total 58 patients were screened. Pain scores were lower in TPVB group for the postoperative first 2 hours P0.05. TPVB blocked more dermatomes during postoperative 1st day P0.05 whereas postoperative tramadol consumption were similar with both blocks P0.05. On the other hand, postoperative 2nd day paracetamol consumption was less with TPVB P0.03. Time-to-first pain and sleep duration on the postoperative 1st day was shorter with ESPB P0.05. Conclusions: Thoracic paravertebral block represents better analgesic features than erector spinae plane block for reduction mammaplasty. However, ESPB may still be considered to provide favorable analgesia.

 Objective: Thoracic paravertebral block TPVB and Erector spinae plane block ESPB are the most preferred regional analgesia techniques for breast surgeries. However, the literature is still lack of reliable evidence to prove superiority of one over another. We hypothesized that TPVB would provide better pain control for the acute postoperative period. Material and Methods: In this retrospective cohort study, macromastia patients who underwent bilateral reduction mammaplasty surgery were grouped according to the regional technique performed prior to general anesthesia induction that are provided with 0.375 bupivacaine bilaterally TPVB or ESPB. Presurgery 10th min, 20th min, and 30th min and postoperative number of dermatomal sensory block, and postoperative pain scores were screened which referred to postoperative 0 minute,1st hour, 2nd hour, 4th hour, 6th hour, 12th hour, 24th hour and 48th hour examination. Intraoperative and postoperative analgesic administration, and comfort parameters such as time-to-first pain, nausea-vomiting PONV incidence, sleep duration, complications and patientsurgeon satisfaction scores were also investigated. Results: Total 58 patients were screened. Pain scores were lower in TPVB group for the postoperative first 2 hours P0.05. TPVB blocked more dermatomes during postoperative 1st day P0.05 whereas postoperative tramadol consumption were similar with both blocks P0.05. On the other hand, postoperative 2nd day paracetamol consumption was less with TPVB P0.03. Time-to-first pain and sleep duration on the postoperative 1st day was shorter with ESPB P0.05. Conclusions: Thoracic paravertebral block represents better analgesic features than erector spinae plane block for reduction mammaplasty. However, ESPB may still be considered to provide favorable analgesia.

 Objective: Thoracic paravertebral block TPVB and Erector spinae plane block ESPB are the most preferred regional analgesia techniques for breast surgeries. However, the literature is still lack of reliable evidence to prove superiority of one over another. We hypothesized that TPVB would provide better pain control for the acute postoperative period. Material and Methods: In this retrospective cohort study, macromastia patients who underwent bilateral reduction mammaplasty surgery were grouped according to the regional technique performed prior to general anesthesia induction that are provided with 0.375 bupivacaine bilaterally TPVB or ESPB. Presurgery 10th min, 20th min, and 30th min and postoperative number of dermatomal sensory block, and postoperative pain scores were screened which referred to postoperative 0 minute,1st hour, 2nd hour, 4th hour, 6th hour, 12th hour, 24th hour and 48th hour examination. Intraoperative and postoperative analgesic administration, and comfort parameters such as time-to-first pain, nausea-vomiting PONV incidence, sleep duration, complications and patientsurgeon satisfaction scores were also investigated. Results: Total 58 patients were screened. Pain scores were lower in TPVB group for the postoperative first 2 hours P0.05. TPVB blocked more dermatomes during postoperative 1st day P0.05 whereas postoperative tramadol consumption were similar with both blocks P0.05. On the other hand, postoperative 2nd day paracetamol consumption was less with TPVB P0.03. Time-to-first pain and sleep duration on the postoperative 1st day was shorter with ESPB P0.05. Conclusions: Thoracic paravertebral block represents better analgesic features than erector spinae plane block for reduction mammaplasty. However, ESPB may still be considered to provide favorable analgesia.

 Amaç: Torasik paravertebral blok TPVB ve Erektor spina plan bloğu ESPB meme ameliyatlarında en çok tercih edilen rejyonal analjezi tekniklerindendir. Literatürde bu iki bloğun birbirine üstünlüğünü gösteren güvenilir kanıtlar kısıtlıdır. Hipotezimizi TPVBnin akut postoperatif dönemde daha iyi analjezi sağlayacağı yönünde kurduk. Gereç ve Yöntem: Bu retrospektif kohort çalışmada bilateral redüksiyon mamoplasti uygulanan hastalar genel anestezi öncesinde uygulanmış olan rejyonal tekniğe göre bilateral TPVB veya ESPB, 0,375 bupivakain ile gruplandırıldı. Ameliyat öncesi Blok sonrası 10. dakika, 20. dakika ve 30. dakika ve ameliyat sonrası 0. dakika, 1. saat, 2. saat, 4. saat, 6. saat, 12. saat, 24. saat ve 48. saatte duyu bloğu oluşmuş dermatom sayısı ve postoperatif ağrı skorları tarandı. İntraoperatif ve postoperatif verilen analjezik miktarı, ağrının ilk ortaya çıkışı süresi, bulantı-kusma POBK insidansı, uyku süresi, komplikasyonlar ve hastacerrah memnuniyet skorları gibi konfor parametreleri araştırıldı. Bulgular: Toplam 58 hasta tarandı. Postoperatif ilk 2 saat ağrı skorları TPVB grubunda daha düşüktü p0,05. TPVB, postoperatif 1. günde daha fazla dermatomu bloke ederken p0,05, postoperatif tramadol tüketimi her iki blokta benzerdi p0,05. Postoperatif 2. gün parasetamol tüketimi ise TPVB ile daha azdı p0,03. Postoperatif 1. gün ilk ağrı süresi ve uyku süresi ESPB ile daha kısaydı p0,05. Sonuç: Redüksiyon mamoplasti için torasik paravertebral blok, erektor spina plan bloğundan daha etkili analjezik özellikler göstermektedir. Bununla birlikte, ESPB yeterli analjezi sağlanmasında faydalıdır.

Article Details

COMPARISON OF THE PERIOPERATIVE ANALGESIC OUTCOMES OF THORACIC PARAVERTEBRAL BLOCK VERSUS ERECTOR SPINAE PLANE BLOCK IN REDUCTION MAMMAPLASTY SURGERIES: A RETROSPECTIVE COHORT STUDY

Authors:

Emre Sertaç Bingül | Emıne Aysu Salvız | Mert Canbaz | Mehmet Güzel | Erol Kozanoğlu | Meltem Karadeniz

Publisher:

Istanbul University

Main Topics:

Clinical Sciences

Journal:

Journal of Advanced Research in Health Sciences Vol.6 Issue 2, pp.129-135

Document Type:

Article

Publication Date:

6/2023

Document Language:

English

Document ID (Org No.):

2001302265

pISSN:

2651-4060

Thoracic paravertebral block

erector spinae plane block

macromastia

reduction mammoplasty

thoracic wall block

acute pain

nerve block

regional anesthesiaTorasik paravertebral blok

erektor spina plan bloğu

makromasti

redüksiyon mamoplasti

torasik duvar bloğu

akut ağrı

sinir bloğu

rejyonal anestezi

Issues

Article Details

Authors: Emre Sertaç Bingül | Emıne Aysu Salvız | Mert Canbaz | Mehmet Güzel | Erol Kozanoğlu | Meltem Karadeniz

Publisher: Istanbul University

Main Topics: Clinical Sciences

Journal: Journal of Advanced Research in Health Sciences Vol.6 Issue 2, pp.129-135

Document Type: Article

Publication Date: 6/2023

Document Language: English

Document ID (Org No.): 2001302265

pISSN: 2651-4060

Issues

Authors:

Emre Sertaç Bingül | Emıne Aysu Salvız | Mert Canbaz | Mehmet Güzel | Erol Kozanoğlu | Meltem Karadeniz

Publisher:

Istanbul University

Main Topics:

Clinical Sciences

Journal:

Journal of Advanced Research in Health Sciences Vol.6 Issue 2, pp.129-135

Document Type:

Article

Publication Date:

6/2023

Document Language:

English

Document ID (Org No.):

2001302265

pISSN:

2651-4060