Comparison of Analgesic efficacy of Erector Spinae plane block with Paravertebral block in adult patient undergoing subcostal incision abdominal surgery: a randomized controlled trial

Upper abdominal surgeries often involve extensive tissue manipulation and surgical incisions, which can result in significant postoperative pain. Adequate analgesia is essential to ensure patient comfort and promote a smoother recovery process. Effective pain management plays a crucial role in enhanced recovery after surgery (ERAS) protocols. By providing optimal analgesia, patients experience reduced pain and discomfort, enabling them to mobilize earlier, resume normal activities, and achieve faster recovery. Inadequate pain control can lead to decreased respiratory function, shallow breathing, and impaired lung expansion. This can potentially increase the risk of postoperative complications, such as atelectasis and pneumonia. Optimal analgesia helps maintain respiratory function, reducing the likelihood of such complications. Adequate pain relief promotes patient satisfaction and overall well-being. Patients experiencing well-controlled pain are more likely to have a positive perception of their surgical experience, resulting in higher patient satisfaction scores. Achieving effective pain control requires a multimodal approach that combines different analgesic techniques and medications. Thoracic paravertebral block (TPVB) has been successfully used as anaesthesia for liver and kidney tumor ablation surgery. Different analgesia techniques, including local anaesthetic infiltration, intercostal nerve block, paravertebral block, and thoracic epidural anesthesia, have been described to attenuate the intensity of acute postoperative pain. Thoracic paravertebral block (TPVB) is an effective technique in controlling pain after lower thoracic and upper abdominal surgeries. The erector spinae block has demonstrated efficacy in various surgical procedures, including thoracic surgery, breast surgery, and abdominal surgery.