الفهرس 
DEDICATIONOnly 14 pages are availabe for public view
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Abstract
Breast cancer is a major health care issue. In Egypt, the proportion
of breast cancer in females was about (32.0%). Surgery remains the
mainstay of treatment plan of breast cancer. Acute postoperative pain is
unbearable and must be managed well. Multimodal analgesia employed
different drugs and techniques of regional anesthesia to alleviate
postoperative pain with minimal side effects. Ultrasound guided regional
blocks and interfacial plane blocks have contributed greatly to the
management of acute postoperative pain with opioid sparing effect and low
incidence of procedure related complications.
This study compared erector spinae block versus Paravertebral plane block regarding post operative pulmonary function as a primary outcome and the 24-hour postoperative nalbuphine requirements, time to first rescue analgesia after administration of block, (VNRS), dermatomal distribution, intraoperative and postoperative hemodynamics, baseline, , and any possible complications of blocks were as Secondary outcomes. forty female patients aged 18-60 years old with ASAII/III grade with no contraindications to regional anesthesia were randomized into two groups (each = 20 patients) after a written informed consent was taken from each patient. group I received erector spinae block and group II received
Paravertebral plane block.
Our study stated that both ultrasound guided ESPB and PVB preserved pulmonary function and provided equivalent levels of postoperative analgesia in patients undergoing modified radical mastectomy (MRM). However, both groups were similar in terms of hemodynamic stability, dermatomal spread and without significant adverse outcomes in either group. Both study groups were comparable in terms of postoperative analgesic consumption and the time for first rescue analgesia. Both blocks provide equal postoperative analgesia without side effects, making them suitable for multimodal analgesia in MRM.