الفهرس 
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Abstract
This was randomized controlled clinical trial that was held in major operating theaters in el demerdash hospital, Ain Shams University, Cairo, Egypt for 6 months on females undergoing breast surgeries aged between 21 - 45 years.
The aim of this study was to evaluate the analgesic effect of ultrasound-guided erector spinae plane (ESP) block in breast surgery postoperatively.
Patients were randomized to one of two groups (group A received ESP block with general anaesthesia and group B (control group) received general anaesthesia only by computer generated random method using closed opaque envelops.
Our primary outcomes were postoperative pain assessment by visual analogue score (VAS) and cumulative morphine consumption for 24 h after surgery, while the secondary outcome were to evaluate severity of postoperative nausea and vomiting, and patient satisfaction score.
Our results reported that there was highly statistically significant difference found between group I and group II regarding Postoperative pain scores Immediately, Postoperative pain scores After 5min, Postoperative pain scores After 10 min, and there was no highly statistically significant difference found between group I and group II regarding Postoperative pain scores After 15min, Postoperative pain scores After 20min, Postoperative pain scores After 25min and Postoperative pain scores After 30min.
There was highly statistically significant difference found between group I and group II regarding Total morphine consumption (mg) and Number of patients requiring morphine.
Also, there was highly statistically significant difference found between group I and group II regarding Mean arterial blood pressure (mmHg) Immediately, and there was no highly statistically significant difference found between group I and group II regarding Mean arterial blood pressure (mmHg) After 5min, Mean arterial blood pressure (mmHg) After 10 min, Mean arterial blood pressure (mmHg) After 15 min, Mean arterial blood pressure (mmHg) After 20 min, Mean arterial blood pressure (mmHg) After 25 min and Mean arterial blood pressure (mmHg) After 30 min.
Regarding Patients satisfaction, there was statistically significant difference found between group I and group II.