Evidence map›Paper›PMID 39080545›Full record

Trial reportBMC anesthesiology2024

A comparative study of respiratory effects of erector spinae plane block versus paravertebral plane block for women undergoing modified radical mastectomy.

Jehan Ahmed Sayed, Rasha Hamed, Abdelraouf Ms Abdelraouf, Noha Yahia Mohammd El-Hagagy, Mahmoud Bahaa El Dean Mousa, Amani H Abdel-Wahab

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC anesthesiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03614091 (Analgesic and Pulmonary Function Effects of Erector Spinae Plane Block Versus Paravertebral Plane Block for Women's Undergoing Modified Radical Mastectomy; Randomized Comparative Study), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03614091 nacompletednot on this map

Analgesic and Pulmonary Function Effects of Erector Spinae Plane Block Versus Paravertebral Plane Block for Women's Undergoing Modified Radical Mastectomy; Randomized Comparative Study

TypeinterventionalSponsorAssiut UniversityRan2020 to 2023Enrolled40ConditionsPain, Postoperative, Pulmonary Atelectasis, MastectomyArmsErector spinae plane block, Paravertebral plane block
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jehan Ahmed SayedAnesthesia and Intensive Care Department, Faculty of Medicine, Assiut University, Asyut, Egypt.
Rasha HamedAnesthesia and Intensive Care Department, Faculty of Medicine, Assiut University, Asyut, Egypt.
Abdelraouf Ms AbdelraoufAnesthesia and Intensive Care Department, Faculty of Medicine, Assiut University, Asyut, Egypt.
Noha Yahia Mohammd El-HagagyAnesthesia and Intensive Care Department, Faculty of Medicine, Assiut University, Asyut, Egypt.
Mahmoud Bahaa El Dean MousaAnesthesia and Intensive Care Department, Faculty of Medicine, Assiut University, Asyut, Egypt.
Amani H Abdel-WahabAnesthesia and Intensive Care Department, Faculty of Medicine, Assiut University, Asyut, Egypt. amanyabdelwhab@aun.edu.eg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInadequate acute postoperative pain control after modified radical mastectomy (MRM) can compromise pulmonary function. This work aimed to assess the postoperative pulmonary effects of a single-shot thoracic paravertebral block (TPVB) and erector spinae plane block (ESPB) in female patients undergoing MRM.

methodsThis prospective, randomized comparative trial was conducted on 40 female American Society of Anesthesiologists (ASA) II-III, aged 18 to 50 years undergoing MRM under general anesthesia (GA). Patients were divided into two equal groups (20 in each group): Group I received ESPB and Group II received TPVB. Each group received a single shot with 20 ml volume of 0.5% bupivacaine.

resultsRespiratory function tests showed a comparable decrease in forced vital capacity (FVC) and forced expiratory volume (FEV1) from the baseline in the two groups. Group I had a lower FEV1/FVC ratio than Group II after 6 h. Both groups were comparable regarding duration for the first postoperative analgesic request (P value = 0.088), comparable postoperative analgesic consumption (P value = 0.855), and stable hemodynamics with no reported side effects.

conclusionBoth ultrasound guided ESPB and TPVB appeared to be effective in preserving pulmonary function during the first 24 h after MRM. This is thought to be due to their pain-relieving effects, as evidenced by decreased postoperative analgesic consumption and prolonged time to postoperative analgesic request in both groups. CLINICALTRIALS: GOV ID: NCT03614091 registration date on 13/7/2018.

Indexed as

Mastectomy, Modified RadicalNerve BlockPostoperative PainAdultAnesthesia, GeneralAnesthetics, LocalBupivacaineFemaleForced Expiratory VolumeHumansMiddle AgedParaspinal MusclesProspective StudiesRespiratory Function TestsUltrasonography, InterventionalVital CapacityAnesthetics, LocalBupivacaineErector spinae plane blockModified radical mastectomyPulmonary functionThoracic paravertebral block

Identifiers

PMID39080545
PMCPMC11290150

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.