A Comparative Study between Erector Spinae Plane Block with General Anesthesia versus Conventional Intravenous Analgesics with General Anesthesia in Patients undergoing Conserving Surgery for Breast Cancer

Background Acute pain is a common concern after breast surgery, and despite the conventional management of with different analgesics, many patients have poor responses. Paravertebral, epidural, pectoral serratus plane blocks are regional blocks, which used commonly to control surgeries. Each these techniques has its advantages disadvantages. Erector spinae block (ESPB) new approach can provide analgesia chest wall, by local anesthetic drugs be deposited in between erector muscle transverse process producing hemithoracic analgesia. This study was intended assess efficacy ESPB for postoperative surgeries.Results Fifty-four were enrolled this divided into two groups, 27 each group. Group B received general anesthesia group C intravenous showed statistically significant reduction total opioid consumption at 24 hours postoperatively, lower VAS score improved hemodynamic parameters first 8 postoperatively.Conclusions Ultrasound-guided performed level T5 found effective safe controlling surgery.