Erector spinae plane block and thoracic paravertebral block for breast surgery compared to IV-morphine: A randomized controlled trial
Erector spinae plane (ESP) block is a novel regional anesthesia technique and gaining importance for postoperative pain management. Since it was first described, the clinicians wonder if this new simple technique can replace paravertebral block (PVB). We aimed to compare the postoperative analgesic...
Saved in:
| Published in: | Journal of clinical anesthesia Vol. 59; pp. 84 - 88 |
|---|---|
| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
United States
Elsevier Inc
01.02.2020
Elsevier Limited |
| Subjects: | |
| ISSN: | 0952-8180, 1873-4529, 1873-4529 |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Abstract | Erector spinae plane (ESP) block is a novel regional anesthesia technique and gaining importance for postoperative pain management. Since it was first described, the clinicians wonder if this new simple technique can replace paravertebral block (PVB). We aimed to compare the postoperative analgesic effect of ESP block and PVB with a control group in breast surgeries.
Randomized controlled trial.
Operating room.
Seventy-five ASA I–II patients aged 25–65, who were scheduled to go under elective unilateral breast surgery for breast cancer were included to the study.
Patients were randomized into three groups as ESP, PVB, and Control group. Ultrasound (US) guided ESP block and PVB with 20 ml 0.25% bupivacaine was done preoperatively to the patients according to their groups.
All patients were provided with iv patient-controlled analgesia device for postoperative analgesia. Morphine consumptions and numeric rating scale (NRS) scores for pain were recorded at 1st, 6th, 12th and 24th hours postoperatively.
There was a statistically significant difference between ESP and Control groups (p < 0,001) and between PVB and Control groups (p < 0,001), while there was no difference between ESP and PVB groups (p > 0,05) for 24-hour morphine consumptions. There was a significant difference between PVB and Control groups for NRS at postoperative 1st and 6th hour (p = 0.018 and p = 0.027 respectively).
This study has shown that US guided ESP block and PVB provided adequate analgesia in patients undergoing breast surgery and have an opioid sparing effect by reducing morphine consumption.
Clinical Trials Registry: NCT03480958.
•ESP block provides effective analgesia in breast surgery.•ESP block has lower risk of complications compared to TPV block.•Both ESP block and TPV block have a similar analgesic effect in breast surgery. |
|---|---|
| AbstractList | Erector spinae plane (ESP) block is a novel regional anesthesia technique and gaining importance for postoperative pain management. Since it was first described, the clinicians wonder if this new simple technique can replace paravertebral block (PVB). We aimed to compare the postoperative analgesic effect of ESP block and PVB with a control group in breast surgeries.
Randomized controlled trial.
Operating room.
Seventy-five ASA I–II patients aged 25–65, who were scheduled to go under elective unilateral breast surgery for breast cancer were included to the study.
Patients were randomized into three groups as ESP, PVB, and Control group. Ultrasound (US) guided ESP block and PVB with 20 ml 0.25% bupivacaine was done preoperatively to the patients according to their groups.
All patients were provided with iv patient-controlled analgesia device for postoperative analgesia. Morphine consumptions and numeric rating scale (NRS) scores for pain were recorded at 1st, 6th, 12th and 24th hours postoperatively.
There was a statistically significant difference between ESP and Control groups (p < 0,001) and between PVB and Control groups (p < 0,001), while there was no difference between ESP and PVB groups (p > 0,05) for 24-hour morphine consumptions. There was a significant difference between PVB and Control groups for NRS at postoperative 1st and 6th hour (p = 0.018 and p = 0.027 respectively).
This study has shown that US guided ESP block and PVB provided adequate analgesia in patients undergoing breast surgery and have an opioid sparing effect by reducing morphine consumption.
Clinical Trials Registry: NCT03480958.
•ESP block provides effective analgesia in breast surgery.•ESP block has lower risk of complications compared to TPV block.•Both ESP block and TPV block have a similar analgesic effect in breast surgery. Erector spinae plane (ESP) block is a novel regional anesthesia technique and gaining importance for postoperative pain management. Since it was first described, the clinicians wonder if this new simple technique can replace paravertebral block (PVB). We aimed to compare the postoperative analgesic effect of ESP block and PVB with a control group in breast surgeries. Randomized controlled trial. Operating room. Seventy-five ASA I-II patients aged 25-65, who were scheduled to go under elective unilateral breast surgery for breast cancer were included to the study. Patients were randomized into three groups as ESP, PVB, and Control group. Ultrasound (US) guided ESP block and PVB with 20 ml 0.25% bupivacaine was done preoperatively to the patients according to their groups. All patients were provided with iv patient-controlled analgesia device for postoperative analgesia. Morphine consumptions and numeric rating scale (NRS) scores for pain were recorded at 1st, 6th, 12th and 24th hours postoperatively. There was a statistically significant difference between ESP and Control groups (p < 0,001) and between PVB and Control groups (p < 0,001), while there was no difference between ESP and PVB groups (p > 0,05) for 24-hour morphine consumptions. There was a significant difference between PVB and Control groups for NRS at postoperative 1st and 6th hour (p = 0.018 and p = 0.027 respectively). This study has shown that US guided ESP block and PVB provided adequate analgesia in patients undergoing breast surgery and have an opioid sparing effect by reducing morphine consumption. Clinical Trials Registry: NCT03480958. Erector spinae plane (ESP) block is a novel regional anesthesia technique and gaining importance for postoperative pain management. Since it was first described, the clinicians wonder if this new simple technique can replace paravertebral block (PVB). We aimed to compare the postoperative analgesic effect of ESP block and PVB with a control group in breast surgeries.STUDY OBJECTIVEErector spinae plane (ESP) block is a novel regional anesthesia technique and gaining importance for postoperative pain management. Since it was first described, the clinicians wonder if this new simple technique can replace paravertebral block (PVB). We aimed to compare the postoperative analgesic effect of ESP block and PVB with a control group in breast surgeries.Randomized controlled trial.DESIGNRandomized controlled trial.Operating room.SETTINGOperating room.Seventy-five ASA I-II patients aged 25-65, who were scheduled to go under elective unilateral breast surgery for breast cancer were included to the study.PATIENTSSeventy-five ASA I-II patients aged 25-65, who were scheduled to go under elective unilateral breast surgery for breast cancer were included to the study.Patients were randomized into three groups as ESP, PVB, and Control group. Ultrasound (US) guided ESP block and PVB with 20 ml 0.25% bupivacaine was done preoperatively to the patients according to their groups.INTERVENTIONSPatients were randomized into three groups as ESP, PVB, and Control group. Ultrasound (US) guided ESP block and PVB with 20 ml 0.25% bupivacaine was done preoperatively to the patients according to their groups.All patients were provided with iv patient-controlled analgesia device for postoperative analgesia. Morphine consumptions and numeric rating scale (NRS) scores for pain were recorded at 1st, 6th, 12th and 24th hours postoperatively.MEASUREMENTSAll patients were provided with iv patient-controlled analgesia device for postoperative analgesia. Morphine consumptions and numeric rating scale (NRS) scores for pain were recorded at 1st, 6th, 12th and 24th hours postoperatively.There was a statistically significant difference between ESP and Control groups (p < 0,001) and between PVB and Control groups (p < 0,001), while there was no difference between ESP and PVB groups (p > 0,05) for 24-hour morphine consumptions. There was a significant difference between PVB and Control groups for NRS at postoperative 1st and 6th hour (p = 0.018 and p = 0.027 respectively).MAIN RESULTSThere was a statistically significant difference between ESP and Control groups (p < 0,001) and between PVB and Control groups (p < 0,001), while there was no difference between ESP and PVB groups (p > 0,05) for 24-hour morphine consumptions. There was a significant difference between PVB and Control groups for NRS at postoperative 1st and 6th hour (p = 0.018 and p = 0.027 respectively).This study has shown that US guided ESP block and PVB provided adequate analgesia in patients undergoing breast surgery and have an opioid sparing effect by reducing morphine consumption. Clinical Trials Registry: NCT03480958.CONCLUSIONSThis study has shown that US guided ESP block and PVB provided adequate analgesia in patients undergoing breast surgery and have an opioid sparing effect by reducing morphine consumption. Clinical Trials Registry: NCT03480958. Study objectiveErector spinae plane (ESP) block is a novel regional anesthesia technique and gaining importance for postoperative pain management. Since it was first described, the clinicians wonder if this new simple technique can replace paravertebral block (PVB). We aimed to compare the postoperative analgesic effect of ESP block and PVB with a control group in breast surgeries.DesignRandomized controlled trial.SettingOperating room.PatientsSeventy-five ASA I–II patients aged 25–65, who were scheduled to go under elective unilateral breast surgery for breast cancer were included to the study.InterventionsPatients were randomized into three groups as ESP, PVB, and Control group. Ultrasound (US) guided ESP block and PVB with 20 ml 0.25% bupivacaine was done preoperatively to the patients according to their groups.MeasurementsAll patients were provided with iv patient-controlled analgesia device for postoperative analgesia. Morphine consumptions and numeric rating scale (NRS) scores for pain were recorded at 1st, 6th, 12th and 24th hours postoperatively.Main resultsThere was a statistically significant difference between ESP and Control groups (p < 0,001) and between PVB and Control groups (p < 0,001), while there was no difference between ESP and PVB groups (p > 0,05) for 24-hour morphine consumptions. There was a significant difference between PVB and Control groups for NRS at postoperative 1st and 6th hour (p = 0.018 and p = 0.027 respectively).ConclusionsThis study has shown that US guided ESP block and PVB provided adequate analgesia in patients undergoing breast surgery and have an opioid sparing effect by reducing morphine consumption.Clinical Trials Registry: NCT03480958. AbstractStudy objectiveErector spinae plane (ESP) block is a novel regional anesthesia technique and gaining importance for postoperative pain management. Since it was first described, the clinicians wonder if this new simple technique can replace paravertebral block (PVB). We aimed to compare the postoperative analgesic effect of ESP block and PVB with a control group in breast surgeries. DesignRandomized controlled trial. SettingOperating room. PatientsSeventy-five ASA I–II patients aged 25–65, who were scheduled to go under elective unilateral breast surgery for breast cancer were included to the study. InterventionsPatients were randomized into three groups as ESP, PVB, and Control group. Ultrasound (US) guided ESP block and PVB with 20 ml 0.25% bupivacaine was done preoperatively to the patients according to their groups. MeasurementsAll patients were provided with iv patient-controlled analgesia device for postoperative analgesia. Morphine consumptions and numeric rating scale (NRS) scores for pain were recorded at 1st, 6th, 12th and 24th hours postoperatively. Main resultsThere was a statistically significant difference between ESP and Control groups (p < 0,001) and between PVB and Control groups (p < 0,001), while there was no difference between ESP and PVB groups (p > 0,05) for 24-hour morphine consumptions. There was a significant difference between PVB and Control groups for NRS at postoperative 1st and 6th hour (p = 0.018 and p = 0.027 respectively). ConclusionsThis study has shown that US guided ESP block and PVB provided adequate analgesia in patients undergoing breast surgery and have an opioid sparing effect by reducing morphine consumption. Clinical Trials Registry: NCT03480958. |
| Author | Yörükoğlu, Ufuk H. Gürkan, Yavuz Kuş, Alparslan Aksu, Can |
| Author_xml | – sequence: 1 givenname: Yavuz surname: Gürkan fullname: Gürkan, Yavuz – sequence: 2 givenname: Can surname: Aksu fullname: Aksu, Can email: dr.aksu@gmail.com – sequence: 3 givenname: Alparslan surname: Kuş fullname: Kuş, Alparslan – sequence: 4 givenname: Ufuk H. surname: Yörükoğlu fullname: Yörükoğlu, Ufuk H. |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31280100$$D View this record in MEDLINE/PubMed |
| BookMark | eNqNkk9v1DAQxS1URLeFr1BZ4sIly9jeOA5CqFVVoFIlDvy5Wo4zod46cbCzlZY73xtHu-1hD5STD_N7T-P35oQcDWFAQs4YLBkw-Xa9XFvvBjPgkgOrlyCXIOQzsmCqEsWq5PURWUBd8kIxBcfkJKU1AOQBe0GOBeMKGMCC_LmKaKcQaRqzG9LRZ0va-GDvqBlaOt2GaKyzdDTR3GOcsInG74Eu65qIJk00beJPjFtqQ59JzMJAr38UfYjjrRvwHb2gMfuF3v3OQxuGKQbvZy4641-S553xCV_t31Py_ePVt8vPxc2XT9eXFzeFLSs-FdaoruMCpewahq2pEVqwShorVwYtr6qms5VSNVe8UbKznLUI3EpV8aqTRpySNzvfMYZfG0yT7l2y6OdPh03SnJdCCcEZZPT1AboOmzjk7TQXTEBZlauZOttTm6bHVo_R9SZu9UPAGZA7wMaQUsTuEWGg5yb1Wj80qecmNUidm8zC9wdC6yYzuTk54_zT8vOdHHOc9w6jTtbhYLF1c-G6De5piw8HFjPlrPF3uMX0GAfTiWvQX-drm4-N1QJWUPJ_G_zPBn8BavrqKA |
| CitedBy_id | crossref_primary_10_1016_j_redar_2022_02_004 crossref_primary_10_1097_JCMA_0000000000001218 crossref_primary_10_4103_ija_ija_257_21 crossref_primary_10_1136_rapm_2019_100983 crossref_primary_10_1016_j_bjane_2022_07_007 crossref_primary_10_1097_EJA_0000000000001872 crossref_primary_10_1186_s12871_022_01950_9 crossref_primary_10_1016_j_jclinane_2021_110274 crossref_primary_10_1016_j_bjane_2021_09_015 crossref_primary_10_1111_aas_14325 crossref_primary_10_1186_s12871_022_01724_3 crossref_primary_10_14789_jmj_2021_67_JMJ20_OA14 crossref_primary_10_2147_JPR_S537574 crossref_primary_10_1007_s40122_021_00339_9 crossref_primary_10_1016_j_bja_2025_05_051 crossref_primary_10_1097_GOX_0000000000006667 crossref_primary_10_1002_14651858_CD013763_pub3 crossref_primary_10_1097_EJA_0000000000001644 crossref_primary_10_7759_cureus_18533 crossref_primary_10_7759_cureus_67149 crossref_primary_10_1186_s12871_022_01946_5 crossref_primary_10_1111_papr_12975 crossref_primary_10_2147_JPR_S346809 crossref_primary_10_1136_rapm_2020_101909 crossref_primary_10_2147_JPR_S325627 crossref_primary_10_1080_14737175_2021_1974840 crossref_primary_10_1055_s_0040_1715491 crossref_primary_10_1136_emermed_2023_213799 crossref_primary_10_1177_0300060521999568 crossref_primary_10_1213_ANE_0000000000006462 crossref_primary_10_2147_LRA_S343347 crossref_primary_10_1186_s12871_023_02013_3 crossref_primary_10_1371_journal_pone_0256611 crossref_primary_10_1097_EJA_0000000000001856 crossref_primary_10_3389_fsurg_2022_1039629 crossref_primary_10_1002_14651858_CD014818_pub2 crossref_primary_10_1186_s12871_022_01760_z crossref_primary_10_2147_JPR_S349028 crossref_primary_10_1016_j_jclinane_2019_08_039 crossref_primary_10_1136_rapm_2020_101917 crossref_primary_10_1111_papr_13208 crossref_primary_10_24884_2078_5658_2025_22_4_102_107 crossref_primary_10_4274_TJAR_2023_231432 crossref_primary_10_1016_j_jclinane_2025_111904 crossref_primary_10_1007_s12630_023_02637_6 crossref_primary_10_3389_fnagi_2023_1237001 crossref_primary_10_1097_MS9_0000000000003192 crossref_primary_10_1186_s12871_020_00999_8 crossref_primary_10_3390_jcm11185452 crossref_primary_10_1155_2023_5668399 crossref_primary_10_2147_JPR_S265015 crossref_primary_10_70749_ijbr_v3i2_670 crossref_primary_10_4103_roaic_roaic_24_25 crossref_primary_10_1136_rapm_2019_101114 crossref_primary_10_1186_s12871_022_01768_5 crossref_primary_10_1136_rapm_2022_104003 crossref_primary_10_1111_tbj_14001 crossref_primary_10_1111_anae_15164 crossref_primary_10_1097_EJA_0000000000002091 crossref_primary_10_4103_sja_SJA_625_19 crossref_primary_10_1007_s00540_025_03466_1 crossref_primary_10_1136_rapm_2020_102195 crossref_primary_10_1186_s12871_021_01277_x crossref_primary_10_4103_ija_IJA_310_19 crossref_primary_10_1080_08998280_2021_1919003 crossref_primary_10_2147_JPR_S538581 crossref_primary_10_1002_anr3_12190 crossref_primary_10_1016_j_jclinane_2020_110063 crossref_primary_10_1097_BRS_0000000000004978 crossref_primary_10_1016_j_jclinane_2020_110064 crossref_primary_10_1111_anae_15276 crossref_primary_10_1007_s00540_021_02923_x crossref_primary_10_1055_s_0041_1740959 crossref_primary_10_5554_22562087_e1020 crossref_primary_10_1097_ACO_0000000000000863 crossref_primary_10_1371_journal_pone_0279648 crossref_primary_10_4103_ija_ija_6_22 crossref_primary_10_1136_rapm_2019_101013 crossref_primary_10_1007_s12630_021_02183_z crossref_primary_10_1097_GOX_0000000000003224 crossref_primary_10_2147_JPR_S256205 crossref_primary_10_1111_papr_13091 crossref_primary_10_1186_s12871_022_01651_3 crossref_primary_10_1080_08941939_2022_2098544 crossref_primary_10_1136_rapm_2021_102725 crossref_primary_10_7759_cureus_58926 crossref_primary_10_3389_fmed_2023_1208325 crossref_primary_10_1016_j_surg_2024_08_055 crossref_primary_10_3390_jcm14092870 crossref_primary_10_1111_papr_13127 crossref_primary_10_1016_j_jclinane_2020_109900 crossref_primary_10_1186_s12871_024_02810_4 crossref_primary_10_1245_s10434_020_08892_x crossref_primary_10_1016_j_athoracsur_2021_08_073 crossref_primary_10_1080_20565623_2024_2430852 crossref_primary_10_2217_pmt_2022_0048 crossref_primary_10_1016_j_ijsu_2020_05_038 crossref_primary_10_1016_j_accpm_2022_101161 crossref_primary_10_4103_sja_sja_990_20 crossref_primary_10_1007_s00432_025_06197_8 crossref_primary_10_1016_j_redare_2022_02_004 |
| Cites_doi | 10.1016/j.jclinane.2017.12.021 10.1097/ACO.0000000000000235 10.1016/j.jclinane.2017.10.006 10.1016/j.jclinane.2018.06.048 10.1097/AAP.0000000000000789 10.1016/j.jclinane.2017.12.007 10.1097/AAP.0000000000000641 10.1016/j.redar.2017.08.004 10.1016/j.jclinane.2018.06.033 10.1097/AAP.0000000000000451 10.1016/j.jclinane.2018.06.019 10.1046/j.1365-2044.2001.02084-2.x 10.1093/bja/aeq265 10.1186/s12871-018-0505-9 |
| ContentType | Journal Article |
| Copyright | 2019 Elsevier Inc. Elsevier Inc. Copyright © 2019 Elsevier Inc. All rights reserved. 2019. Elsevier Inc. |
| Copyright_xml | – notice: 2019 Elsevier Inc. – notice: Elsevier Inc. – notice: Copyright © 2019 Elsevier Inc. All rights reserved. – notice: 2019. Elsevier Inc. |
| DBID | AAYXX CITATION CGR CUY CVF ECM EIF NPM 3V. 7RV 7X7 7XB 88E 8FI 8FJ 8FK 8G5 ABUWG AFKRA AZQEC BENPR CCPQU DWQXO FYUFA GHDGH GNUQQ GUQSH K9. KB0 M0S M1P M2O MBDVC NAPCQ PHGZM PHGZT PJZUB PKEHL PPXIY PQEST PQQKQ PQUKI Q9U 7X8 |
| DOI | 10.1016/j.jclinane.2019.06.036 |
| DatabaseName | CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed ProQuest Central (Corporate) Nursing & Allied Health Database ProQuest_Health & Medical Collection ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) ProQuest Hospital Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) Research Library (Alumni) ProQuest Central (Alumni) ProQuest Central UK/Ireland ProQuest Central Essentials - QC ProQuest Central ProQuest One Community College ProQuest Central Proquest Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student Research Library Prep ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Database (Alumni Edition) Health & Medical Collection (Alumni Edition) Medical Database ProQuest research library Research Library (Corporate) Nursing & Allied Health Premium Proquest Central Premium ProQuest One Academic (New) ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) ProQuest One Health & Nursing ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic (retired) ProQuest One Academic UKI Edition ProQuest Central Basic MEDLINE - Academic |
| DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) Research Library Prep ProQuest Central Student ProQuest One Academic Middle East (New) ProQuest Central Essentials ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest One Health & Nursing Research Library (Alumni Edition) ProQuest Central ProQuest Health & Medical Research Collection Health Research Premium Collection Health and Medicine Complete (Alumni Edition) ProQuest Central Korea Health & Medical Research Collection ProQuest Research Library ProQuest Central (New) ProQuest Medical Library (Alumni) ProQuest Central Basic ProQuest One Academic Eastern Edition ProQuest Nursing & Allied Health Source ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Hospital Collection (Alumni) Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest Medical Library ProQuest One Academic UKI Edition ProQuest Nursing & Allied Health Source (Alumni) ProQuest One Academic ProQuest One Academic (New) ProQuest Central (Alumni) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE MEDLINE - Academic Research Library Prep |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7RV name: Nursing & Allied Health Database url: https://search.proquest.com/nahs sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| EISSN | 1873-4529 |
| EndPage | 88 |
| ExternalDocumentID | 31280100 10_1016_j_jclinane_2019_06_036 S0952818019304052 1_s2_0_S0952818019304052 |
| Genre | Randomized Controlled Trial Journal Article Comparative Study |
| GroupedDBID | --- --K --M -RU .1- .FO .GJ .~1 0R~ 1B1 1P~ 1RT 1~. 1~5 29K 3O- 4.4 457 4G. 53G 5GY 5RE 5VS 7-5 71M 7RV 7X7 88E 8FI 8FJ 8G5 8P~ 9JM AAEDT AAEDW AAIKJ AAKOC AALRI AAOAW AAQFI AAQXK AATTM AAWTL AAXKI AAXUO AAYWO ABBQC ABFRF ABJNI ABMAC ABMZM ABUWG ABWVN ABXDB ACDAQ ACGFO ACGFS ACIEU ACIUM ACLOT ACRLP ACRPL ACVFH ADBBV ADCNI ADEZE ADFRT ADMUD ADNMO AEBSH AEFWE AEIPS AEKER AENEX AEUPX AEVXI AFJKZ AFKRA AFPUW AFRHN AFTJW AFXIZ AGHFR AGQPQ AGUBO AGYEJ AHHHB AHMBA AIEXJ AIGII AIIUN AIKHN AITUG AJRQY AJUYK AKBMS AKRWK AKYEP ALMA_UNASSIGNED_HOLDINGS AMRAJ ANKPU ANZVX APXCP ASPBG AVWKF AXJTR AZFZN AZQEC BENPR BKEYQ BKOJK BLXMC BNPGV BPHCQ BVXVI CCPQU CS3 D-I DU5 DWQXO EBS EFJIC EFKBS EFLBG EJD EMOBN EO8 EO9 EP2 EP3 EX3 F5P FDB FEDTE FGOYB FIRID FNPLU FYGXN FYUFA G-2 G-Q GBLVA GNUQQ GUQSH HDV HMCUK HMK HMO HVGLF HZ~ IHE J1W KOM LX1 M1P M29 M2O M41 MO0 N4W N9A NAPCQ O-L O9- O90 OAUVE OL- OZT P-8 P-9 P2P PC. PHGZM PHGZT PJZUB PPXIY PQQKQ PROAC PSQYO Q38 R2- ROL RPZ SAE SCC SDF SDG SDP SEL SES SEW SPCBC SSH SSZ SV3 T5K UKHRP UNMZH WOW WUQ XPP Z5R ~G- ~HD 3V. AACTN AFCTW AFKWA AJOXV ALIPV AMFUW RIG AAIAV ABLVK ABYKQ AJBFU LCYCR 9DU AAYXX AFFHD CITATION CGR CUY CVF ECM EIF NPM 7XB 8FK K9. MBDVC PKEHL PQEST PQUKI Q9U 7X8 PUEGO |
| ID | FETCH-LOGICAL-c572t-ca8ff23e66fb1eda9e0d0c86ac64aec277bfc7889282b86fc21de02c68727f6a3 |
| IEDL.DBID | BENPR |
| ISICitedReferencesCount | 127 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000498473900033&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 0952-8180 1873-4529 |
| IngestDate | Sun Sep 28 08:22:06 EDT 2025 Sat Nov 29 14:41:50 EST 2025 Thu Apr 03 06:53:49 EDT 2025 Tue Nov 18 21:38:06 EST 2025 Sat Nov 29 07:09:27 EST 2025 Fri Feb 23 02:41:05 EST 2024 Sun Feb 23 10:19:10 EST 2025 Tue Oct 14 19:34:16 EDT 2025 |
| IsPeerReviewed | true |
| IsScholarly | true |
| Keywords | Postoperative pain Erector spinae plane block Paravertebral block Breast surgery |
| Language | English |
| License | Copyright © 2019 Elsevier Inc. All rights reserved. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c572t-ca8ff23e66fb1eda9e0d0c86ac64aec277bfc7889282b86fc21de02c68727f6a3 |
| Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 content type line 14 ObjectType-Feature-3 ObjectType-Evidence Based Healthcare-1 ObjectType-Feature-1 content type line 23 ObjectType-Undefined-3 |
| PMID | 31280100 |
| PQID | 2313057540 |
| PQPubID | 1226344 |
| PageCount | 5 |
| ParticipantIDs | proquest_miscellaneous_2253833210 proquest_journals_2313057540 pubmed_primary_31280100 crossref_primary_10_1016_j_jclinane_2019_06_036 crossref_citationtrail_10_1016_j_jclinane_2019_06_036 elsevier_sciencedirect_doi_10_1016_j_jclinane_2019_06_036 elsevier_clinicalkeyesjournals_1_s2_0_S0952818019304052 elsevier_clinicalkey_doi_10_1016_j_jclinane_2019_06_036 |
| PublicationCentury | 2000 |
| PublicationDate | 2020-02-01 |
| PublicationDateYYYYMMDD | 2020-02-01 |
| PublicationDate_xml | – month: 02 year: 2020 text: 2020-02-01 day: 01 |
| PublicationDecade | 2020 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States – name: Philadelphia |
| PublicationTitle | Journal of clinical anesthesia |
| PublicationTitleAlternate | J Clin Anesth |
| PublicationYear | 2020 |
| Publisher | Elsevier Inc Elsevier Limited |
| Publisher_xml | – name: Elsevier Inc – name: Elsevier Limited |
| References | Aksu, Gürkan (bb0030) 2018; 45 Tulgar, Kapakli, Senturk, Selvi, Serifsoy, Ozer (bb0035) 2018; 49 Gürkan, Aksu, Kuş, Yörükoğlu, Kılıç (bb0040) 2018; 50 Aksu, Gürkan (bb0020) 2019; 38 Ueshima, Hiroshi (bb0075) 2018; 45 Schnabel, Reichl, Kranke, Pogatzki-Zahn, Zahn (bb0010) 2010; 105 Naja, Lönnqvist (bb0005) 2001; 56 Aksu, Gürkan (bb0025) 2018; 50 Chiu, Aleshi, Esserman, Inglis-Arkell, Yap, Whitlock (bb0080) 2018; 18 Bonvicini, Tagliapietra, Giacomazzi, Pizzirani (bb0045) 2018; 44 Ivanusic, Konishi, Barrington (bb0070) 2018; 43 Veiga, Costa, Brazão (bb0050) 2018; 65 Wardhan (bb0055) 2015; 28 Woodworth, Ivie, Nelson, Walker, Maniker (bb0060) 2017; 42 Forero, Adhikary, Lopez, Tsui, Chin (bb0015) 2016; 41 Adhikary, Bernard, Lopez, Chin (bb0065) 2018; 43 Gürkan (10.1016/j.jclinane.2019.06.036_bb0040) 2018; 50 Ueshima (10.1016/j.jclinane.2019.06.036_bb0075) 2018; 45 Bonvicini (10.1016/j.jclinane.2019.06.036_bb0045) 2018; 44 Woodworth (10.1016/j.jclinane.2019.06.036_bb0060) 2017; 42 Naja (10.1016/j.jclinane.2019.06.036_bb0005) 2001; 56 Tulgar (10.1016/j.jclinane.2019.06.036_bb0035) 2018; 49 Chiu (10.1016/j.jclinane.2019.06.036_bb0080) 2018; 18 Ivanusic (10.1016/j.jclinane.2019.06.036_bb0070) 2018; 43 Schnabel (10.1016/j.jclinane.2019.06.036_bb0010) 2010; 105 Aksu (10.1016/j.jclinane.2019.06.036_bb0030) 2018; 45 Adhikary (10.1016/j.jclinane.2019.06.036_bb0065) 2018; 43 Forero (10.1016/j.jclinane.2019.06.036_bb0015) 2016; 41 Aksu (10.1016/j.jclinane.2019.06.036_bb0025) 2018; 50 Veiga (10.1016/j.jclinane.2019.06.036_bb0050) 2018; 65 Aksu (10.1016/j.jclinane.2019.06.036_bb0020) 2019; 38 Wardhan (10.1016/j.jclinane.2019.06.036_bb0055) 2015; 28 |
| References_xml | – volume: 50 start-page: 62 year: 2018 end-page: 63 ident: bb0025 article-title: Opioid sparing effect of Erector Spinae Plane block for pediatric bilateral inguinal hernia surgeries publication-title: J Clin Anesth – volume: 28 start-page: 588 year: 2015 end-page: 592 ident: bb0055 article-title: Update on paravertebral blocks publication-title: Curr Opin Anaesthesiol – volume: 45 start-page: 23 year: 2018 ident: bb0075 article-title: Spread of local anesthetic solution in the erector spinae plane block publication-title: J Clin Anesth – volume: 43 start-page: 756 year: 2018 end-page: 762 ident: bb0065 article-title: Erector spinae plane block versus retrolaminar block: a magnetic resonance imaging and anatomical study publication-title: Reg Anesth Pain Med – volume: 44 start-page: 3 year: 2018 end-page: 4 ident: bb0045 article-title: Bilateral ultrasound-guided erector spinae plane blocks in breast cancer and reconstruction surgery publication-title: J Clin Anesth – volume: 42 start-page: 609 year: 2017 end-page: 631 ident: bb0060 article-title: Perioperative breast analgesia: a qualitative review of anatomy and regional techniques publication-title: Reg Anesth Pain Med – volume: 105 start-page: 842 year: 2010 end-page: 852 ident: bb0010 article-title: Efficacy and safety of paravertebral blocks in breast surgery: a meta-analysis of randomized controlled trials publication-title: Br J Anaesth – volume: 65 start-page: 112 year: 2018 end-page: 115 ident: bb0050 article-title: Erector spinae plane block for radical mastectomy: a new indication? publication-title: Rev Esp Anestesiol Reanim (English Edition) – volume: 56 start-page: 1181 year: 2001 end-page: 1201 ident: bb0005 article-title: Somatic paravertebral nerve blockade incidence of failed block and complications publication-title: Anaesthesia – volume: 45 start-page: 35 year: 2018 end-page: 36 ident: bb0030 article-title: Ultrasound guided erector spinae block for postoperative analgesia in pediatric nephrectomy surgeries publication-title: J Clin Anesth – volume: 41 start-page: 621 year: 2016 end-page: 627 ident: bb0015 article-title: The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain publication-title: Reg Anesth Pain Med – volume: 38 start-page: 87 year: 2019 end-page: 88 ident: bb0020 article-title: Ultrasound-guided bilateral erector spinae plane block could provide effective postoperative analgesia in laparoscopic cholecystectomy in paediatric patients publication-title: Anaesth Crit Care Pain Med – volume: 18 start-page: 41 year: 2018 ident: bb0080 article-title: Improved analgesia and reduced post-operative nausea and vomiting after implementation of an enhanced recovery after surgery (ERAS) pathway for total mastectomy publication-title: BMC Anesthesiol – volume: 49 start-page: 101 year: 2018 end-page: 106 ident: bb0035 article-title: Evaluation of ultrasound-guided erector spinae plane block for postoperative analgesia in laparoscopic cholecystectomy: a prospective, randomized, controlled clinical trial publication-title: J Clin Anesth – volume: 43 start-page: 567 year: 2018 end-page: 571 ident: bb0070 article-title: A cadaveric study investigating the mechanism of action of erector spinae blockade publication-title: Reg Anesth Pain Med – volume: 50 start-page: 65 year: 2018 end-page: 68 ident: bb0040 article-title: Ultrasound guided erector spinae plane block reduces postoperative opioid consumption following breast surgery: a randomized controlled study publication-title: J Clin Anesth – volume: 45 start-page: 35 year: 2018 ident: 10.1016/j.jclinane.2019.06.036_bb0030 article-title: Ultrasound guided erector spinae block for postoperative analgesia in pediatric nephrectomy surgeries publication-title: J Clin Anesth doi: 10.1016/j.jclinane.2017.12.021 – volume: 28 start-page: 588 year: 2015 ident: 10.1016/j.jclinane.2019.06.036_bb0055 article-title: Update on paravertebral blocks publication-title: Curr Opin Anaesthesiol doi: 10.1097/ACO.0000000000000235 – volume: 44 start-page: 3 year: 2018 ident: 10.1016/j.jclinane.2019.06.036_bb0045 article-title: Bilateral ultrasound-guided erector spinae plane blocks in breast cancer and reconstruction surgery publication-title: J Clin Anesth doi: 10.1016/j.jclinane.2017.10.006 – volume: 50 start-page: 62 year: 2018 ident: 10.1016/j.jclinane.2019.06.036_bb0025 article-title: Opioid sparing effect of Erector Spinae Plane block for pediatric bilateral inguinal hernia surgeries publication-title: J Clin Anesth doi: 10.1016/j.jclinane.2018.06.048 – volume: 43 start-page: 567 year: 2018 ident: 10.1016/j.jclinane.2019.06.036_bb0070 article-title: A cadaveric study investigating the mechanism of action of erector spinae blockade publication-title: Reg Anesth Pain Med doi: 10.1097/AAP.0000000000000789 – volume: 45 start-page: 23 year: 2018 ident: 10.1016/j.jclinane.2019.06.036_bb0075 article-title: Spread of local anesthetic solution in the erector spinae plane block publication-title: J Clin Anesth doi: 10.1016/j.jclinane.2017.12.007 – volume: 42 start-page: 609 year: 2017 ident: 10.1016/j.jclinane.2019.06.036_bb0060 article-title: Perioperative breast analgesia: a qualitative review of anatomy and regional techniques publication-title: Reg Anesth Pain Med doi: 10.1097/AAP.0000000000000641 – volume: 65 start-page: 112 year: 2018 ident: 10.1016/j.jclinane.2019.06.036_bb0050 article-title: Erector spinae plane block for radical mastectomy: a new indication? publication-title: Rev Esp Anestesiol Reanim (English Edition) doi: 10.1016/j.redar.2017.08.004 – volume: 38 start-page: 87 year: 2019 ident: 10.1016/j.jclinane.2019.06.036_bb0020 article-title: Ultrasound-guided bilateral erector spinae plane block could provide effective postoperative analgesia in laparoscopic cholecystectomy in paediatric patients publication-title: Anaesth Crit Care Pain Med – volume: 50 start-page: 65 year: 2018 ident: 10.1016/j.jclinane.2019.06.036_bb0040 article-title: Ultrasound guided erector spinae plane block reduces postoperative opioid consumption following breast surgery: a randomized controlled study publication-title: J Clin Anesth doi: 10.1016/j.jclinane.2018.06.033 – volume: 41 start-page: 621 year: 2016 ident: 10.1016/j.jclinane.2019.06.036_bb0015 article-title: The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain publication-title: Reg Anesth Pain Med doi: 10.1097/AAP.0000000000000451 – volume: 49 start-page: 101 year: 2018 ident: 10.1016/j.jclinane.2019.06.036_bb0035 article-title: Evaluation of ultrasound-guided erector spinae plane block for postoperative analgesia in laparoscopic cholecystectomy: a prospective, randomized, controlled clinical trial publication-title: J Clin Anesth doi: 10.1016/j.jclinane.2018.06.019 – volume: 56 start-page: 1181 year: 2001 ident: 10.1016/j.jclinane.2019.06.036_bb0005 article-title: Somatic paravertebral nerve blockade incidence of failed block and complications publication-title: Anaesthesia doi: 10.1046/j.1365-2044.2001.02084-2.x – volume: 105 start-page: 842 year: 2010 ident: 10.1016/j.jclinane.2019.06.036_bb0010 article-title: Efficacy and safety of paravertebral blocks in breast surgery: a meta-analysis of randomized controlled trials publication-title: Br J Anaesth doi: 10.1093/bja/aeq265 – volume: 43 start-page: 756 year: 2018 ident: 10.1016/j.jclinane.2019.06.036_bb0065 article-title: Erector spinae plane block versus retrolaminar block: a magnetic resonance imaging and anatomical study publication-title: Reg Anesth Pain Med – volume: 18 start-page: 41 year: 2018 ident: 10.1016/j.jclinane.2019.06.036_bb0080 article-title: Improved analgesia and reduced post-operative nausea and vomiting after implementation of an enhanced recovery after surgery (ERAS) pathway for total mastectomy publication-title: BMC Anesthesiol doi: 10.1186/s12871-018-0505-9 |
| SSID | ssj0004521 |
| Score | 2.5663352 |
| Snippet | Erector spinae plane (ESP) block is a novel regional anesthesia technique and gaining importance for postoperative pain management. Since it was first... AbstractStudy objectiveErector spinae plane (ESP) block is a novel regional anesthesia technique and gaining importance for postoperative pain management.... Study objectiveErector spinae plane (ESP) block is a novel regional anesthesia technique and gaining importance for postoperative pain management. Since it was... |
| SourceID | proquest pubmed crossref elsevier |
| SourceType | Aggregation Database Index Database Enrichment Source Publisher |
| StartPage | 84 |
| SubjectTerms | Administration, Intravenous Adult Aged Analgesia - adverse effects Analgesia - methods Analgesia, Patient-Controlled - methods Analgesia, Patient-Controlled - statistics & numerical data Analgesics Anesthesia Anesthetics, Local - administration & dosage Anesthetics, Local - adverse effects Breast cancer Breast Neoplasms - surgery Breast surgery Bupivacaine - administration & dosage Bupivacaine - adverse effects Cross-Over Studies Erector spinae plane block Female Humans Mastectomy - adverse effects Middle Aged Morphine Morphine - administration & dosage Morphine - adverse effects Narcotics Nerve Block - adverse effects Nerve Block - methods Pain Pain Measurement - statistics & numerical data Pain Medicine Pain, Postoperative - diagnosis Pain, Postoperative - etiology Pain, Postoperative - therapy Paraspinal Muscles - diagnostic imaging Paraspinal Muscles - innervation Paravertebral block Patients Postoperative Nausea and Vomiting - epidemiology Postoperative Nausea and Vomiting - etiology Postoperative Nausea and Vomiting - prevention & control Postoperative pain Surgery Thoracic surgery Thoracic Vertebrae - diagnostic imaging Ultrasonography, Interventional Vomiting |
| Title | Erector spinae plane block and thoracic paravertebral block for breast surgery compared to IV-morphine: A randomized controlled trial |
| URI | https://www.clinicalkey.com/#!/content/1-s2.0-S0952818019304052 https://www.clinicalkey.es/playcontent/1-s2.0-S0952818019304052 https://dx.doi.org/10.1016/j.jclinane.2019.06.036 https://www.ncbi.nlm.nih.gov/pubmed/31280100 https://www.proquest.com/docview/2313057540 https://www.proquest.com/docview/2253833210 |
| Volume | 59 |
| WOSCitedRecordID | wos000498473900033&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVESC databaseName: Elsevier SD Freedom Collection Journals 2021 customDbUrl: eissn: 1873-4529 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0004521 issn: 0952-8180 databaseCode: AIEXJ dateStart: 19950201 isFulltext: true titleUrlDefault: https://www.sciencedirect.com providerName: Elsevier – providerCode: PRVPQU databaseName: Health & Medical Collection (ProQuest) customDbUrl: eissn: 1873-4529 dateEnd: 20251008 omitProxy: false ssIdentifier: ssj0004521 issn: 0952-8180 databaseCode: 7X7 dateStart: 20030101 isFulltext: true titleUrlDefault: https://search.proquest.com/healthcomplete providerName: ProQuest – providerCode: PRVPQU databaseName: Nursing & Allied Health Database customDbUrl: eissn: 1873-4529 dateEnd: 20251008 omitProxy: false ssIdentifier: ssj0004521 issn: 0952-8180 databaseCode: 7RV dateStart: 20030101 isFulltext: true titleUrlDefault: https://search.proquest.com/nahs providerName: ProQuest – providerCode: PRVPQU databaseName: ProQuest Central customDbUrl: eissn: 1873-4529 dateEnd: 20251008 omitProxy: false ssIdentifier: ssj0004521 issn: 0952-8180 databaseCode: BENPR dateStart: 20030101 isFulltext: true titleUrlDefault: https://www.proquest.com/central providerName: ProQuest – providerCode: PRVPQU databaseName: Research Library customDbUrl: eissn: 1873-4529 dateEnd: 20251008 omitProxy: false ssIdentifier: ssj0004521 issn: 0952-8180 databaseCode: M2O dateStart: 20030101 isFulltext: true titleUrlDefault: https://search.proquest.com/pqrl providerName: ProQuest |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1Lb9QwELbolgMXCuKVtlRG4hqa2FnH6QW1aCuQYKkKrPZmxY-ou2yTZZNy4M7_7kzihB54CS6Roth5zXjmm_E8CHnurBQGXWBaunGYANOEWhQ8tCmwj5aJFW27t9nbdDqV83l25h1utQ-r7GViK6htZdBHfgg4hCO2SKKX6y8hdo3C3VXfQmOLbGOlsmREtk8m07Pzm_XC467aHqz7WEY3coSXL5aYfJiXWCwzztoqnm2h5p-qp1_Bz1YNne787wfcI3c9AKXHHcfcJ7dc-YB8n2xa7z2t1_Cujq4xBJZqUHSfaV5a2lwAp5iFoVgpHDs443bzyg8A2Es1xrY3tO6SrGkf2U6bir6ZhZcVUBPg7BE9pqAbbXW5-AYXfZj8CsfhOnhIPp1OPr56HfoGDaEZp6wJTS6LgnEnRKFjZ_PMRTYyUuRGJLkzLE11YcDGzsCu01IUhsXWRcwICaipEDl_REZlVbonhCaWizwSheDcJmDyaA6WnxbaOZY6lxcBGfd0UcZXL8cmGivVh6ktVU9PhfRUGK_HRUAOh3nrrn7HH2ekPdlVn50K8lSBivm3ma72YqFWsaqZitQH5EdkR0DPIETHLCDZMNMjnw7R_NVT93t-U8ODfjBbQJ4Nl0Fy4HYQ3KC6gjEMlB3HHK6APO54evhFHGALWOrR7u9vvkfuMPQ_tFHs-2TUbK7cU3LbfG0W9eaAbKXnMzzO0_YoD_zyhLN37P01BlVD2g |
| linkProvider | ProQuest |
| linkToHtml | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1Lb9QwELZKQYILD_EKFDASHEMdO-skSAhV0KqrLgsSperNxI-IXbbJsklBcOfv8BuZSeLQAy8h9cA5tqM438w3Y8-DkAfOptLgEZhO3SiMATShloUIbQLw0WlsZdvu7WCSTKfp4WH2ao1887kwGFbpdWKrqG1l8Ix8E-wQgbZFzJ4uP4TYNQpvV30LjQ4We-7zJ3DZ6ifj5_B_H3K-s73_bDfsuwqEZpTwJjR5WhRcOCkLHTmbZ45ZZlKZGxnnzvAk0YUBxzADZ0SnsjA8so5xI1Og-kLmAtY9Q87GWFkMQwX5y5PVyaOuth9omShlJzKS54_mmOqYl1iaM8ramqFtWeifkuGvjN2W9HYu_W_bdZlc7M1rutXJwxWy5sqr5Ov2qr2boPUS9sbRJQb4Ug00_p7mpaXNO5ADMzMU66Bjf2q8TF_0A8Copxoj9xtadynk1Mft06ai44PwqAKsgrH-mG5RYH5bHc2-wMM-CWCB41DKr5E3p_Ll18l6WZXuJqGxFTJnspBC2BgcOi3Ar9VSO8cT5_IiICOPA2X62uzYImShfBDeXHn8KMSPwmhEIQOyOcxbdtVJ_jgj8TBTPvcW2EIBgf7bTFf3Sq9Wkaq5Yuo14h_hD74BUMSIByQbZvZ2XWev_dVbNzy-1fCiH-AOyP3hMehFvOyCBapjGMOBygVmqAXkRidDwxYJMMpYxNit3y9-j5zf3X8xUZPxdO82ucDxpKWN198g683q2N0h58zHZlav7rZqgJK3py1I3wEJe55r |
| linkToPdf | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1Lb9QwELZKQYgLBQFloYCR4BjWsbNOgoRQRbti1WqpBFS9mfgldtkmyyYFwb1_il_HTF70wEtIPXCO7SjONzPf2PMg5JGziTR4BKYTNwoiAE2gpReBjQE-OomsrNu9He7H02lydJQerJFvXS4MhlV2OrFW1LYweEY-BB4ikFtEbOjbsIiDnfHz5ccAO0jhTWvXTqOByJ778hnct_LZZAf-9WPOx7tvXrwM2g4DgRnFvApMlnjPhZPS69DZLHXMMpPIzMgoc4bHsfYGnMQUHBOdSG94aB3jRiZg9r3MBKx7gVyMIzDKGDbIX52tVB42df5A44QJO5OdPH8yx7THLMcynWFa1w-tS0T_1DD-ivjWBnC88T9v3TVytaXddLuRk-tkzeU3yOnuqr6zoOUS9snRJQb-Ug3m_QPNckur9yAfZmYo1kfHvtV4yb5oBwDZpxoj-itaNqnltIvnp1VBJ4fBcQEYBhL_lG5TYAS2OJ59hYdtcsACx6H03yRvz-XLb5H1vMjdbUIjK2TGpJdC2AgcPS3A39VSO8dj5zI_IKMOE8q0NduxdchCdcF5c9VhSSGWFEYpCjkgw37esqla8scZcQc51eXkghVRYFj_baYrW2VYqlCVXDH1GmUBRQF8BjAdIz4gaT-z5XsNj_urt251WFf9i34AfUAe9o9BX-IlGCxQnMAYDiZeYObagGw28tRvkQCyxkLG7vx-8QfkMsiP2p9M9-6SKxwPYOow_i2yXq1O3D1yyXyqZuXqfq0RKHl33nL0HWMfpzE |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Erector+spinae+plane+block+and+thoracic+paravertebral+block+for+breast+surgery+compared+to+IV-morphine%3A+A+randomized+controlled+trial&rft.jtitle=Journal+of+clinical+anesthesia&rft.au=G%C3%BCrkan%2C+Yavuz&rft.au=Aksu%2C+Can&rft.au=Ku%C5%9F%2C+Alparslan&rft.au=Y%C3%B6r%C3%BCko%C4%9Flu%2C+Ufuk+H&rft.date=2020-02-01&rft.issn=1873-4529&rft.eissn=1873-4529&rft.volume=59&rft.spage=84&rft_id=info:doi/10.1016%2Fj.jclinane.2019.06.036&rft.externalDBID=NO_FULL_TEXT |
| thumbnail_m | http://cvtisr.summon.serialssolutions.com/2.0.0/image/custom?url=https%3A%2F%2Fcdn.clinicalkey.com%2Fck-thumbnails%2F09528180%2FS0952818019X00057%2Fcov150h.gif |