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September 10, 2025JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCHOpen Access

Effectiveness of ultrasound-guided Continuous Unilateral Erector Spinae Plane Block for Postoperative Analgesia in Modified Radical Mastectomy: A Randomised Clinical Study

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Authors

SCSooraj ChambathBSBinu SajidSSS Syamkumar

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Overview

Randomised clinical study shows lower pain and rescue analgesic use in postoperative mastectomy patients, suggesting wide-ranging benefits of the ESP block.

Key Points

  • Group E had significantly lower pain scores (NRS) compared to Group I at all intervals after modified radical mastectomy, indicating better pain management through ESP block.
  • Patients in Group E also required rescue analgesics significantly later than Group I, with a p-value less than 0.001, highlighting the effectiveness of the continuous block.
  • The mean cumulative dose of rescue analgesics was significantly lower in Group E over 24 hours, demonstrating reduced medication needs with the ESP approach.
  • Incidence of postoperative nausea or vomiting was significantly reduced in Group E compared to Group I, suggesting fewer complications with the ESP block.

Cite This Study

Chambath et al. (2025) studied this question.

synapsesocial.com/papers/68c1a25a54b1d3bfb60dd367https://doi.org/10.7860/jcdr/2025/79463.21329
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A COMPARATIVE STUDY OF ULTRASOUND GUIDED ERECTOR SPINAE PLANE BLOCK WITH CONVENTIONAL GENERALANAESTHESIA FOR POST OPERATIVE ANALGESIA IN MODIFIED RADICAL MASTECTOMY: A PROSPECTIVE RANDOMISED CONTROLLED STUDY2025
  2. 2Assessment of ultrasound guided erector spinae plane block for early post-operative analgesia for modified radical mastectomy: a prospective, randomized, controlled study2024 · 1 citations
  3. 3Comparative Study for Efficacy of Ultrasound Guided Pectoral Nerve Block versus Erector Spinae Plane Block for Post Operative Analgesia in Modified Radical Mastectomy2025
  4. 4Analgesic efficacy of ultrasound-guided retrolaminar block and erector spinae plane block in modified radical mastectomy: a randomized controlled study2024 · 2 citations
  5. 5Comparison of midpoint transverse process to pleura (MTP) block and erector spinae plane block (ESP) for postoperative analgesia in modified radical mastectomy patients: A double-blinded, randomized control trial2024 · 3 citations