Moeez Akram, Muhammad Rehan Iftikhar, Quratulain Fatima, Muhammad Ubaida, Hareem Khan, Hadia Mohsin, Muhammad Ibrahim, Muhammad Abdullah Hassan Wattoo, Muhammad Uzair Tahir, Marsad Ali
{"title":"胸外科和乳腺外科术后疼痛治疗中 TPVB 和 ESPB 的比较分析。","authors":"Moeez Akram, Muhammad Rehan Iftikhar, Quratulain Fatima, Muhammad Ubaida, Hareem Khan, Hadia Mohsin, Muhammad Ibrahim, Muhammad Abdullah Hassan Wattoo, Muhammad Uzair Tahir, Marsad Ali","doi":"10.1080/20565623.2024.2430852","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This meta-analysis assesses the efficacy and safety of erector spinae block (ESPB) and paravertebral block (PVB) for managing postoperative pain in thoracic and breast surgeries.</p><p><strong>Design: </strong>Data from 12 randomized controlled trials (RCTs) published between 2019 and 2022 were included, and selected based on stringent criteria.</p><p><strong>Setting: </strong>The RCTs were conducted across various clinical settings, including operating theaters worldwide.</p><p><strong>Patients: </strong>The analysis involved 844 patients undergoing thoracic or breast surgery under regional anesthesia, representing diverse health statuses.</p><p><strong>Interventions: </strong>Patients received either PVB or ESPB, typically guided by ultrasound, for postoperative pain control.</p><p><strong>Main findings: </strong>PVB demonstrated superior pain management during rest and mobility, requiring fewer additional analgesics than ESPB. Incidences of postoperative nausea and vomiting (PONV) and opioid consumption did not differ significantly between the methods. ESPB showed more effective block placement.</p><p><strong>Conclusion: </strong>PVB is preferred for reducing analgesic requirements and managing postoperative pain, especially during rest and activity. ESPB offers advantages in block placement. Surgical type and patient preferences should guide the choice between PVB and ESPB, necessitating further research for optimized clinical application.</p>","PeriodicalId":12568,"journal":{"name":"Future Science OA","volume":"10 1","pages":"2430852"},"PeriodicalIF":2.4000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587851/pdf/","citationCount":"0","resultStr":"{\"title\":\"Comparative analysis of TPVB and ESPB for postoperative pain management in thoracic and breast surgeries.\",\"authors\":\"Moeez Akram, Muhammad Rehan Iftikhar, Quratulain Fatima, Muhammad Ubaida, Hareem Khan, Hadia Mohsin, Muhammad Ibrahim, Muhammad Abdullah Hassan Wattoo, Muhammad Uzair Tahir, Marsad Ali\",\"doi\":\"10.1080/20565623.2024.2430852\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This meta-analysis assesses the efficacy and safety of erector spinae block (ESPB) and paravertebral block (PVB) for managing postoperative pain in thoracic and breast surgeries.</p><p><strong>Design: </strong>Data from 12 randomized controlled trials (RCTs) published between 2019 and 2022 were included, and selected based on stringent criteria.</p><p><strong>Setting: </strong>The RCTs were conducted across various clinical settings, including operating theaters worldwide.</p><p><strong>Patients: </strong>The analysis involved 844 patients undergoing thoracic or breast surgery under regional anesthesia, representing diverse health statuses.</p><p><strong>Interventions: </strong>Patients received either PVB or ESPB, typically guided by ultrasound, for postoperative pain control.</p><p><strong>Main findings: </strong>PVB demonstrated superior pain management during rest and mobility, requiring fewer additional analgesics than ESPB. Incidences of postoperative nausea and vomiting (PONV) and opioid consumption did not differ significantly between the methods. ESPB showed more effective block placement.</p><p><strong>Conclusion: </strong>PVB is preferred for reducing analgesic requirements and managing postoperative pain, especially during rest and activity. ESPB offers advantages in block placement. Surgical type and patient preferences should guide the choice between PVB and ESPB, necessitating further research for optimized clinical application.</p>\",\"PeriodicalId\":12568,\"journal\":{\"name\":\"Future Science OA\",\"volume\":\"10 1\",\"pages\":\"2430852\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2024-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587851/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Future Science OA\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1080/20565623.2024.2430852\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/11/22 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, RESEARCH & EXPERIMENTAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Future Science OA","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/20565623.2024.2430852","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/11/22 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
Comparative analysis of TPVB and ESPB for postoperative pain management in thoracic and breast surgeries.
Objective: This meta-analysis assesses the efficacy and safety of erector spinae block (ESPB) and paravertebral block (PVB) for managing postoperative pain in thoracic and breast surgeries.
Design: Data from 12 randomized controlled trials (RCTs) published between 2019 and 2022 were included, and selected based on stringent criteria.
Setting: The RCTs were conducted across various clinical settings, including operating theaters worldwide.
Patients: The analysis involved 844 patients undergoing thoracic or breast surgery under regional anesthesia, representing diverse health statuses.
Interventions: Patients received either PVB or ESPB, typically guided by ultrasound, for postoperative pain control.
Main findings: PVB demonstrated superior pain management during rest and mobility, requiring fewer additional analgesics than ESPB. Incidences of postoperative nausea and vomiting (PONV) and opioid consumption did not differ significantly between the methods. ESPB showed more effective block placement.
Conclusion: PVB is preferred for reducing analgesic requirements and managing postoperative pain, especially during rest and activity. ESPB offers advantages in block placement. Surgical type and patient preferences should guide the choice between PVB and ESPB, necessitating further research for optimized clinical application.
期刊介绍：
Future Science OA is an online, open access, peer-reviewed title from the Future Science Group. The journal covers research and discussion related to advances in biotechnology, medicine and health. The journal embraces the importance of publishing all good-quality research with the potential to further the progress of research in these fields. All original research articles will be considered that are within the journal''s scope, and have been conducted with scientific rigour and research integrity. The journal also features review articles, editorials and perspectives, providing readers with a leading source of commentary and analysis. Submissions of the following article types will be considered: -Research articles -Preliminary communications -Short communications -Methodologies -Trial design articles -Trial results (including early-phase and negative studies) -Reviews -Perspectives -Commentaries
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