Paravertebral and erector spinae plane blocks decrease length of stay compared with local infiltration analgesia in autologous breast reconstruction
Authors' conclusion
Replacing surgical infiltration with PVB and ESP blocks for autologous breast reconstruction reduces LOS.
Study context
- Population
- Patients undergoing mastectomy with latissimus dorsi myocutaneous flap reconstruction, 2018–2022
- Participants
- 122 patients
- Exposure
- Preoperative paravertebral (PVB) or erector spinae plane (ESP) block vs surgeon-administered local infiltration
- No blockn = 72reference
- PVBn = 26
- ESPn = 24
- Outcome
- Postoperative length of stay (LOS)
Methodological detailsadjusted analysis
- Adjusted analysis
Main finding
As reported in the abstract
Each group vs no blockDifference, hours shorter (95% CI)P value
PVB
20(11–30)
P < 0.001ESP
24(15–34)
P < 0.001Observational data: associations, not effects.
Further findings
| Outcome | Reduction (MME) (95% CI) | P value |
|---|---|---|
| Intraoperative opioids (MME)Either block vs No block | 23 (14–31) | P < 0.001 |
| Intraoperative opioids (MME)ESP vs No block | 23 (14–32) | P < 0.001 |
Original publication
Paravertebral and erector spinae plane blocks decrease length of stay compared with local infiltration analgesia in autologous breast reconstruction. Reg Anesth Pain Med. Published 8 February 2024. doi:10.
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