Cureus · 2025
Safety and Efficacy of Ultrasound-Guided Retrolaminar and Midpoint Transverse Process to Pleura Blocks Compared to Ultrasound-Guided Classic Paravertebral Block for Breast and Thoracic Surgery: A Systematic Review and Meta-Analysis.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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de Souza Makiyama Lopes Raphael Matheus, de Lima E Souza Priscila Ferreira, de Almeida Barbosa Gustavo Gohringer, Leite Santana Anisio Uchoa, Schettini Gueiros Cecília, Requena Escobar Matheus, Ponte Conrado João Evangelista, Andrea Camastra Antonio, Teixeira Baldo Lucas, Busatto de Donato André, G C Novaes Laiz, Macedo Oliveira Daniel, Rolf Erdmann Thomas
Аннотация
The ultrasound-guided midpoint transverse process to pleura (MTP) block and retrolaminar block (RLB) have emerged as promising alternatives to the classic paravertebral block (PVB) for breast and thoracic surgery. This systematic review and meta-analysis of randomized controlled trials was conducted to compare the analgesic efficacy and safety of these newer techniques with the traditional PVB. Our pooled analysis revealed that MTP block and RLB offer early postoperative analgesic efficacy comparable to PVB. However, the MTP block/RLB group tended to have slightly higher pain scores with movement and greater cumulative opioid consumption in the first 24 hours. Regarding safety, all reported cases of pneumothorax or pleural puncture occurred exclusively in the PVB group. The enhanced safety profile and potentially simpler technique associated with the MTP block and RLB suggest that they may be valuable alternatives to the classic PVB in clinical practice.