Comparative Study between Thoracic Epidural Analgesia Versus Erector Spinae Block or Serratus Anterior Block in Postoperative Analgesia Following Breast Surgery

Background: any kind of surgery, but notably augmentation, anesthesiologists prioritize reducing postoperative discomfort. Postoperative analgesia surgery the purpose of this research, which compared thoracic epidural analgesia (blind approach) with spinae block and anterior block (using ultrasonography). Methods: From July 1, 2023, to the end of June 20, 2024, ninety women who had augmentation procedures performed at Benha University Hospitals participated in a prospective, double-blind, randomized trial. The women were split into three equal groups: First group: well-functioning individuals who underwent general anesthesia placement of a thoracic epidural catheter at the level of either the T4-5 or T5-T6 region using the loss-of-resistance method. Group 2: patients in this group were given general anesthesia and, towards the conclusion of the procedure, were placed in a lateral posture and given a single shot spinae block. Patients in Group 3 had general anesthesia, and at the conclusion of the procedure, they were put in the lateral position with their upper arms abducted at a 90˚ angle, and a anterior plane block administered with a single shot. Results: At 0 h, 2 h, 4 h, 8 h, 16 h, and 24 h postoperatively, there a statistically significant difference between the groups according to the Pain Scale (p= <0.0001, p= <0.0001, p= 0.0072, p= 0.0087, and p= 0.0446, respectively). Between the groups, there a notable disparity in the mean morphine intake and the it took to request an opioid (p= 0.0003 and p= <0.0001, respectively).