The comparison of postoperative analgesic efficacy of ultrasound-guided paravertebral block and mid-point transverse process pleura block in mastectomy surgeries: A randomized study

dc.authorid0000-0003-0867-8660en_US
dc.authorid0000-0003-1791-9884en_US
dc.contributor.authorKahramanlar, Agah Abdullah
dc.contributor.authorAksoy, Mehmet
dc.contributor.authorİnce, İlker
dc.contributor.authorDostbil, Ayşenur
dc.contributor.authorKaradeniz, Erdem
dc.date.accessioned2022-07-25T08:40:29Z
dc.date.available2022-07-25T08:40:29Z
dc.date.issued2022en_US
dc.departmentMeslek Yüksekokulları, Sağlık Hizmetleri Meslek Yüksekokulu, Anestezi Programıen_US
dc.description.abstractPURPOSE/AIM OF THE STUDY The purpose of this triple-blind randomized study is to compare the postoperative analgesic efficacy of Mid-Point Transverse Process Pleura Block (MTP) and Paravertebral Block (PVB) in patients undergoing breast surgery. MATERIALS AND METHODS The study was retrospectively registered on ClinicalTrials.gov (NCT 05332028). A total of 64 patients undergoing unilateral simple mastectomy operation due to breast cancer were included in the study. Before the anesthesia procedure, participants were randomly assigned to one of two groups: Group 1: Participants undergoing PVB or Group 2: Participants undergoing MTP block. All block applications were performed using 20 mL of 0.25% bupivacaine. Routine general anesthesia protocol was performed on all patients. In the postanesthetic care unit, fentanyl infusion was given to all patients postoperatively via a patient-controlled analgesia device. Postoperative fentanyl consumption, time to the first request for analgesia, VAS score values at rest and in motion, and blocked dermatome areas were recorded. RESULTS Postoperative total opioid consumption, the number of patients given rescue analgesia, the time requiring postoperative supplemental analgesia, postoperative pain scores at rest and in motion, and blocked dermatome areas at both anterior and posterior lower and upper limits were not different between groups (p > 0.05, for all). CONCLUSIONS It was concluded that ultrasound-guided PVB and MTP blocks have similar postoperative analgesic efficacy in patients undergoing breast surgery. The MTP block may be preferred as an alternative to PVB for breast surgeries with less risk of complications.en_US
dc.identifier.citationKahramanlar, A. A., Aksoy, M., İnce, İ., Dostbil, A., & Karadeniz, E. (2022). The comparison of postoperative analgesic efficacy of ultrasound-guided paravertebral block and mid-point transverse process pleura block in mastectomy surgeries: A randomized study. Journal of Investigative Surgery, 1-6.en_US
dc.identifier.endpage6en_US
dc.identifier.scopus2-s2.0-85134499788
dc.identifier.scopusqualityQ1
dc.identifier.startpage1en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12939/2717
dc.identifier.wosWOS:000826253000001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAksoy, Mehmet
dc.institutionauthorİnce, İlker
dc.language.isoen
dc.publisherTaylor & Francisen_US
dc.relation.ispartofJournal of Investigative Surgery
dc.relation.isversionof10.1080/08941939.2022.2098544en_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectParavertebral Blocken_US
dc.subjectMastectomyen_US
dc.subjectMid-Point Transverse Process Pleura Blocken_US
dc.subjectOpioid Consumptionen_US
dc.subjectVisual Analog Scaleen_US
dc.subjectPostoperative Painen_US
dc.subjectAnalgesiaen_US
dc.titleThe comparison of postoperative analgesic efficacy of ultrasound-guided paravertebral block and mid-point transverse process pleura block in mastectomy surgeries: A randomized study
dc.typeArticle

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