The Analgesic Effects and Sensory Blockade between Erector Spinae Plane Block and Thoracic Paravertebral Block after Breast Surgery

Main Article Content

Aumjit Wittayapairoj


Background: Thoracic paravertebral block (TPVB) is an
effective technique for controlling pain after breast surgery.
However, this block requires high skill to perform.
In contrast, Erector spinae plane block (ESPB) seem to
be easier and safer technique.
Objectives: To evaluate the analgesic effects and sensory
blockade between ESPB and TPVB after breast surgery.
Methods: This retrospective study was conducted in
patients undergoing breast surgery from June to October
2018 who received either TPVB or ESPB for postoperative
pain control. The study data include pain scores (visual
analog scale: VAS), the scanning and block performing
time, dermatomal levels of sensory blockade, postoperative
fentanyl used and complications.
Results: Twenty-four patients, received TPVB 10 and
ESPB 14 patients. Patient demographic data were
comparable. The mean differences of VAS within 24 hours
at rest and on movement were similar (-9.1, P 0.263 and
7.4, P 0.387). The scanning and block performing time
were significantly shorter in ESPB (38 vs. 200 seconds,
P 0.005 and 220 vs. 457 seconds, P 0.003). The dermatomal
level of sensory blockade and postoperative fentanyl used

were also similar. No complications were observed in
either group.
Conclusions: ESPB and TPVB provide similar
postoperative pain effect and sensory blockade after
breast surgery but ESPB required a shorter time of
scanning and performing.

Article Details

Original articles


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