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June 1, 2024International Journal of Scientific Research

Comparison of Postoperative Analgesic Effect of Ultrasound Guided Pectoral vs Erector Spinae Block in Patients Undergoing Modified Radical Mastectomy

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Authors

RCRagashree C.MPDPreethi Fatima DJDJ. Devanand

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Overview

Randomized trial shows superior analgesia with pectoral nerve block over erector spinae block in modified radical mastectomy, highlighting reduced postoperative rescue opioid demand.

Key Points

  • Ultrasound-guided pectoral nerve block produced superior postoperative analgesia compared to erector spinae plane block, significantly decreasing patient demand for rescue opioids.
  • Rescue opioid demand fell significantly with p <0.001 for pectoral blocks, and visual analogue scale movement scores remained lower throughout the initial four recovery hours.
  • Randomized controlled trial of 60 surgical patients allocated cohorts to receive 30 mL of 0.25% bupivacaine via pectoral nerve block or erector spinae plane block before mastectomy.
  • Supports the adoption of ultrasound-guided pectoral nerve block over erector spinae plane block to optimize postoperative analgesia in modified radical mastectomy procedures.

Cite This Study

C.M et al. (2024) studied this question.

synapsesocial.com/papers/68e673fbb6db6435875fe66dhttps://doi.org/10.36106/ijsr/0401114
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Also Consider

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

  1. 1Comparative Study for Efficacy of Ultrasound Guided Pectoral Nerve Block versus Erector Spinae Plane Block for Post Operative Analgesia in Modified Radical Mastectomy2025
  2. 2Erector Spinae Plane Block Versus PECS Block Type II for Breast Surgery: A Randomized Controlled Trial2022 · 23 citations
  3. 3A 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
  4. 4Comparative study between ultrasound guided modified pectoral nerve block versus erector spinae block in breast surgeries-prospective randomised comparative study2023 · 1 citations
  5. 5Comparison of erector spinae plane, paravertebral, and pectoral nerve blocks on postoperative analgesia and Quality of Recovery-15 in patients undergoing mastectomy: a prospective randomized trial2026