Efficacy of bi-level erector spinae plane block versus bi-level thoracic paravertebral block for postoperative analgesia in modified radical mastectomy: a prospective randomized comparative study

Abstract Background Postoperative analgesia in breast surgery is difficult due to the extensive nature of the surgery and the complex innervation of the breast; general anesthesia can be associated with regional anesthesia techniques to control intra- and post-postoperative pain. This randomized com...

Full description

Bibliographic Details
Published in:	BMC Anesthesiology
Main Authors:	Domenico P. Santonastaso, Annabella de Chiara, Roberto Righetti, Diego Marandola, Andrea Sica, Claude T. Bagaphou, Chiara Rosato, Andrea Tognù, Annalisa Curcio, Leonardo Lucchi, Emanuele Russo, Vanni Agnoletti
Format:	Article
Language:	English
Published:	BMC 2023-06-01
Subjects:	Thoracic paravertebral block Erector spinae plane block Breast surgery Mastectomy Postoperative pain
Online Access:	https://doi.org/10.1186/s12871-023-02157-2

Similar Items

Erector spinae plane block versus paravertebral block in breast surgeries
by: Raghuraman M. Sethuraman
Published: (2022-12-01)

Erector spinae plane block versus paravertebral block in analgesic outcomes following breast surgery
by: Ahmed M. Elewa, et al.
Published: (2023-01-01)

Paravertebral Block versus Erector Spinae Plane Block for Postoperative Analgesia and Recovery: A Systematic Review and Meta-Analysis
by: Ren D, et al.
Published: (2025-09-01)

Comparison between ultrasound guided erector spinae plane block and paravertebral block on acute and chronic post mastectomy pain after modified radical mastectomy: randomized controlled trial
by: Samy Abdelrahman Amr, et al.
Published: (2024-11-01)

Effect of Erector Plane Muscle Block and Thoracic Paravertebral Block on Postoperative Analgesia in Patients with Breast Cancer: A Meta-analysis
by: CHEN Tianren, et al.
Published: (2025-01-01)

Comparison of Efficacy of Erector Spinae Plane Block with Paravertebral Block for Postoperative Analgesia in Patients Undergoing Breast Cancer Surgery
by: Arjun Singh, et al.
Published: (2023-01-01)

The analgesic efficacy of erector spinae plane block versus paravertebral block in thoracic surgeries: a meta-analysis
by: Efrem Fenta, et al.
Published: (2023-08-01)

A Randomized clinical trial comparing the efficacy of ultrasound-guided erector spinae block and paravertebral block in preventing postherpetic neuralgia in patients with zoster-associated pain
by: Akkamahadevi Patil, et al.
Published: (2024-08-01)

Comparison of Efficacy of Ultrasound Guided Erector Spinae Block vs Paravertebral Block for Postoperative Analgesia in Breast Surgeries
by: B Arun Kumar, et al.
Published: (2025-06-01)

Comparison between erector spinae plane block and paravertebral block regarding postoperative analgesic consumption following breast surgery: a randomized controlled study
by: Ahmed M. Elewa, et al.
Published: (2022-06-01)

The impact of ultrasound-guided erector spinae plane block combined with paravertebral block on postoperative rebound pain following thoracoscopic lobectomy
by: Yihang He, et al.
Published: (2025-08-01)

Ultrasound-guided thoracic paravertebral block vs pectoral nerve block for postoperative analgesia after modified radical mastectomy
by: Islam Gamal Hamed, et al.
Published: (2020-07-01)

Can thoracic paravertebral block replace thoracic epidural block in pediatric cardiac surgery? A randomized blinded study
by: Gamal Z El-Morsy, et al.
Published: (2012-01-01)

Ultrasound-guided Erector Spinae Plane Block in Combination with Superficial Parasternal Intercostal Plane Block Versus Paravertebral Block for Perioperative Pain after Median Sternotomy Surgeries
by: Ahmed Fathy Abdel- latef, et al.
Published: (2025-07-01)

A comparative study of respiratory effects of erector spinae plane block versus paravertebral plane block for women undergoing modified radical mastectomy
by: Jehan Ahmed Sayed, et al.
Published: (2024-07-01)

Erector spinae versus paravertebral plane blocks in modified radical mastectomy: Randomised comparative study of the technique success rate among novice anaesthesiologists
by: Moustafa A Moustafa, et al.
Published: (2020-01-01)

Erector spinae plane block versus paravertebral block on postoperative quality of recovery in obese patients undergoing laparoscopic sleeve gastrectomy: a randomized controlled trial
by: Guanyu Yang, et al.
Published: (2024-05-01)

Combined erector spinae and pecto-intercostal plane blocks versus thoracic paravertebral block in patients scheduled for modified radical mastectomy: A randomized controlled trial
by: Sara Habib, et al.
Published: (2024-01-01)

Comparison of Ultrasound-Guided Thoracic Paravertebral Block Versus Thoracic Paravertebral Block Combined With Serratus Anterior Plane Block or Erector Spinae Block Following Video-Assisted Thoracoscopic Lobectomy
by: Zheng MM, et al.
Published: (2025-03-01)

Comparison of ultrasound-guided paravertebral block versus erector spinae plane block for postoperative analgesia after percutaneous nephrolithotomy – A randomised, double-blind, controlled study
by: Prajna Pandit Khot, et al.
Published: (2023-01-01)

Comparison of erector spinae plane block with paravertebral block for thoracoscopic surgery: a meta-analysis of randomized controlled trials
by: Jinghua Pang, et al.
Published: (2023-10-01)

Non-intubated video-assisted thoracoscopic surgery under combination of erector spinae plane block and thoracic paravertebral block
by: Ali Alagoz, et al.
Published: (2022-04-01)

Optimizing post-thoracotomy pain management: comparing erector spinae vs. paravertebral block in thoracotomy patients: a prospective randomized study
by: Kerem Baser, et al.
Published: (2025-07-01)

Comparative analysis of the analgesic effects of intercostal nerve block, ultrasound-guided paravertebral nerve block, and epidural block following single-port thoracoscopic lung surgery
by: Liang Shen, et al.
Published: (2024-07-01)

COMPARISON OF THE PERIOPERATIVE ANALGESIC OUTCOMES OF THORACIC PARAVERTEBRAL BLOCK VERSUS ERECTOR SPINAE PLANE BLOCK IN REDUCTION MAMMAPLASTY SURGERIES: A RETROSPECTIVE COHORT STUDY
by: Emre Sertaç Bingül, et al.
Published: (2023-06-01)

Ultrasound-guided single thoracic paravertebral nerve block and erector spinae plane block for perioperative analgesia in thoracoscopic pulmonary lobectomy: a randomized controlled trial
by: Jian-wen Zhang, et al.
Published: (2022-01-01)

The “Gesture” teaching method of ultrasound-guided thoracic paravertebral block
by: Xiaojuan Jiang, et al.
Published: (2023-05-01)

Thoracic interfacial plane block versus thoracic paravertebral block for anesthesia in gynecomastia surgery: A randomized controlled trial
by: Taysser M Abdelraheem, et al.
Published: (2023-01-01)

Thoracic Paravertebral Block for Postoperative Analgesia in Pediatric Oncology
by: E. I. Belousova, et al.
Published: (2014-06-01)

Paravertebral Block in the Treatment of Patients With Blunt Chest Trauma
by: V. G. Kotandzhian, et al.
Published: (2023-04-01)

Effect of thoracic paravertebral block and erector spinae plane block on postoperative gastrointestinal function and quality of recovery in patients undergoing thoracoscopic lobectomy: a randomized controlled trial
by: Min Zhao, et al.
Published: (2025-12-01)

Paravertebral block can attenuate cytokine response when it replaces general anesthesia for cancer breast surgeries
by: Sherif S Sultan
Published: (2013-01-01)

Multiple levels paravertebral block versus morphine patient-controlled analgesia for postoperative analgesia following breast cancer surgery with unilateral lumpectomy, and axillary lymph nodes dissection
by: Summayah Fallatah, et al.
Published: (2016-01-01)

Comparative study between intraoperative and postoperative analgesic effect of ultrasound-guided thoracic paravertebral block versus pectoral nerve block in patients undergoing modified radical mastectomy: a randomized controlled trial
by: Mostafa Adel Mohamed Ahmed, et al.
Published: (2022-02-01)

Role of erector spinae plane block versus paravertebral block in pain control after modified radical mastectomy. A prospective randomised trial
by: Mona Raafat El Ghamry, et al.
Published: (2019-01-01)

Analgesic efficacy of ultrasound guided paravertebral block in percutaneous nephrolithotomy patients: a randomized controlled clinical study
by: Ferda Yaman, et al.
Published: (2020-09-01)

Study on acupuncture with thoracic paravertebral block for patients with intercostal nerve transfer and general anesthesia
by: YU Shijian, WANG Xuehu, ZHANG Lin, LIN Weiwei, CUI Wei
Published: (2021-11-01)

The “Hand as Foot” teaching method in ultrasound-guided thoracic paravertebral nerve block
by: Jingjing Cai, et al.
Published: (2023-08-01)

Description of an Ultrasound-Guided Erector Spinae Plane Block and Comparison to a Blind Proximal Paravertebral Nerve Block in Cows: A Cadaveric Study
by: Olivia D’Anselme, et al.
Published: (2022-08-01)

Efficacy of paravertebral block on postoperative nausea and vomiting: a meta-analysis of randomized controlled trial
by: Jinfang Zeng, et al.
Published: (2025-10-01)