Erector Spinae Block vs Paravertebral Block in Breast Cancer Surgery: A Systematic Review and Meta-analysis

Dublin Core		PKP Metadata Items	Metadata for this Document
1.	Title	Title of document	Erector Spinae Block vs Paravertebral Block in Breast Cancer Surgery: A Systematic Review and Meta-analysis
2.	Creator	Author's name, affiliation, country	Rizky Rahmad Tri Cahyo; Resident anesthesiology and intensive care, Diponegoro University; Indonesia
2.	Creator	Author's name, affiliation, country	Doso Sutiyono; Anesthesiologist in Dr. Kariadi General Hospital Medical Center and Diponegoro University; Indonesia
2.	Creator	Author's name, affiliation, country	Intan Karmila; Internship Doctor at Praya Regional Hospital, West Nusa Tenggara; Indonesia
2.	Creator	Author's name, affiliation, country	Ismini Aufakamilia; Internship Doctor at Islamic Hospital Yatofa, West Nusa Tenggara; Indonesia
3.	Subject	Discipline(s)
3.	Subject	Keyword(s)	Breast cancer surgery; Erector Spinae Plane Block (ESPB); Mastectomy; Paravertebral Block (PVB); Radical mastectomy.
4.	Description	Abstract	Background :The paravertebral block (PVB) is the gold standard for postoperative analgesia in breast surgery, but it easily causes pneumothorax. Erector spinae plane block (ESPB) is considered as alternative to PVB because its less invasive so relative safer. However, evidence in favor of these techniques is lacking. Method :A search of PubMed Central, Cochrane Library, Wiley Online Library, and ClinicalTrials.gov to identify the latest 20 years studies comparing ESPB and PVB in breast cancer surgery was conducted. Our endpoints were: intraoperative fentanyl consumption, total postoperative morphine, and time to first analgesic request. Result :A total of 6 studies (394 patients) were included for this meta-analysis. The pooled analysis showed there is -3.03 (MD = -3.03: 95% CI: -7.47– 1.42) mean difference with insignificant overall effect (P = 0.18) for intraoperative fentanyl consumption on ESPB patient after breast cancer surgery compared against PVB procedure. There is an insignificant between ESPB and PVB regarding total postoperative morphine with 0.46 (MD = 0.46: 95% CI: -0.94 – 1.85) mean difference with insignificant overall effect (P =0.52). There is a significant difference between ESPB and PVB regarding time to first analgesic request with 0.23(MD = 0.23: 95% CI: 0.01– 0.44) risk ratio with statistically significant overall effect (P = 0.04). Both intraoperative fentanyl consumption and total postoperative morphine consumption showed heterogeneity. Meanwhile, time to the first analgesic request showed no heterogeneity. Conclusion : PVB is superior to ESPB regarding time to first analgesic request, but ESPB can serve as an alternative to PVB with a similar analgesic effect
5.	Publisher	Organizing agency, location	Fakultas Kedokteran Universitas Sebelas Maret Surakarta
6.	Contributor	Sponsor(s)	Doso Sutiyono, 2Anesthesiologist in Dr. Kariadi General Hospital Medical Center and Diponegoro University; Intan Karmila, Internship Doctor at Praya Regional Hospital, West Nusa Tenggara; Ismini Aufa Kamilia, Internship Doctor at Islamic Hospital Yatofa.
7.	Date	(YYYY-MM-DD)	2025-10-31
8.	Type	Status & genre	Peer-reviewed Article
8.	Type	Type
9.	Format	File format	PDF
10.	Identifier	Uniform Resource Identifier	https://jurnal.uns.ac.id/SOJA/article/view/67351
10.	Identifier	Digital Object Identifier	https://doi.org/10.20961/soja.v5i2.67351
11.	Source	Title; vol., no. (year)	Solo Journal of Anesthesi, Pain and Critical Care (SOJA); Vol 5, No 2 (2025): October 2025
12.	Language	English=en	en
13.	Relation	Supp. Files
14.	Coverage	Geo-spatial location, chronological period, research sample (gender, age, etc.)
15.	Rights	Copyright and permissions	Copyright (c) 2025 Rizky Rahmad Tri Cahyo, Doso Sutiyono, Intan Karmila, Ismini Aufakamilia https://creativecommons.org/licenses/by/4.0/