Evidence map›Paper›PMID 40655740›Full record

ArticleJournal of pharmacy & bioallied sciences2025

Comparison of Efficacy of Ultrasound Guided Erector Spinae Block vs Paravertebral Block for Postoperative Analgesia in Breast Surgeries.

B Arun Kumar, T Divyalakshmi, R Brindha, Naveena Pandian, Panneerselvam Periasamy

Abstract read
In one paragraph

Article in Journal of pharmacy & bioallied sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

B Arun KumarDepartment of Anaesthesia, Vinayaka Mission's Kirupananda Variyar Medical College and Hospitals, Vinayaka Mission's Research Foundation, Salem, Tamil Nadu, India.
T DivyalakshmiDepartment of Anaesthesia, Vinayaka Mission's Kirupananda Variyar Medical College and Hospitals, Vinayaka Mission's Research Foundation, Salem, Tamil Nadu, India.
R BrindhaDepartment of Anaesthesia, Vinayaka Mission's Kirupananda Variyar Medical College and Hospitals, Vinayaka Mission's Research Foundation, Salem, Tamil Nadu, India.
Naveena PandianDepartment of Anaesthesia, Vinayaka Mission's Kirupananda Variyar Medical College and Hospitals, Vinayaka Mission's Research Foundation, Salem, Tamil Nadu, India.
Panneerselvam PeriasamyDepartment of Physiology, Government Erode Medical College, Perundurai, Affiliated Under the Tamil Nadu Dr MGR Medical University, Chennai, Tamil Nadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Effective management of postoperative pain (PSP) following breast surgeries is essential to improving recovery and preventing chronic pain syndromes. While the thoracic paravertebral block (TPVB) is the established standard for analgesia in breast surgeries, the erector spinae plane block (ESPB) has recently emerged as a simpler and safer alternative. Aim: To compare the efficacy of ultrasound-guided erector spinae block (ESPB) versus paravertebral block (TPVB) for postoperative analgesia in breast surgeries. Methods: A prospective randomized study was conducted on 60 patients undergoing elective breast surgeries at Vinayaka Missions Kirupananda Variyar Medical College and Hospitals, Salem. Patients were randomized into two groups: Group A (ESPB, 0.125% ropivacaine + dexmedetomidine) and Group B (TPVB, 0.125% ropivacaine + dexmedetomidine). Pain was assessed using the Visual Analog Scale (VAS) over 24 hours post-surgery. Secondary outcomes included hemodynamic stability, duration of sensory blockade, rescue analgesic requirements, and complications. Data were analyzed using EPI 2010 software. Results: Baseline hemodynamic parameters were comparable between the groups, except for higher systolic blood pressure (142.1 ± 3.8 mmHg vs. 136.5 ± 7.8 mmHg, Conclusion: Ultrasound-guided ESPB provides superior postoperative analgesia compared to TPVB, with consistent pain relief and similar hemodynamic stability. Its simplicity and safety profile make ESPB a promising alternative for pain management in breast surgeries. Further studies are warranted to validate these findings and optimize analgesic protocols.

Indexed as

Breast surgeryerector spinae plane blockparavertebral blockpostoperative analgesiaregional anesthesiaVAS score

Identifiers

PMID40655740
PMCPMC12244988

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Registered trials

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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.