Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website https://www.jocmr.org

Original Article

Volume 16, Number 6, June 2024, pages 284-292


Battle of the Blocks: Which Pain Management Technique Triumphs in Gender-Affirming Bilateral Mastectomies?

Figures

Figure 1.
Figure 1. The mean intraoperative morphine milligram equivalent (MME) scores for each group (PECS, ESP, SMA, TWI) with 95% confidence intervals. Each bar represents the average MME score for a group, visually comparing the anesthesia requirements across the different groups. PECS: pectoral nerve; ESP: erector spinae plane; TWI: thoracic wall local anesthesia infiltration; SMA: systemic multimodal analgesia.
Figure 2.
Figure 2. Bar graph representing the post-anesthesia care unit (PACU) morphine milligram equivalent (MME) for each group, complete with a legend indicating the mean PACU MME with standard error of the mean (SEM).
Figure 3.
Figure 3. The mean pain scores at different time intervals (30, 60, 90, and 120 min) for each group (PECS, ESP, SMA, TWI) along with their 95% confidence intervals allowing for a direct comparison of how pain scores evolve for each treatment group. PECS: pectoral nerve; ESP: erector spinae plane; TWI: thoracic wall local anesthesia infiltration; SMA: systemic multimodal analgesia.
Figure 4.
Figure 4. NRS pain scores on postoperative day 2 (POD 2) for the four groups. NRS: numeric rating scale.
Figure 5.
Figure 5. The mean interval between arrival to post-anesthesia care unit (PACU) and administration of first rescue dose, with error bars representing the standard deviation for each group.
Figure 6.
Figure 6. The average time spent in the post-anesthesia care unit (PACU) by group, with error bars representing the standard deviation for each group.

Tables

Table 1. Age Distribution of Participants by Group
 
GroupNMean ageStandard deviationStandard error95% CIMinimum ageMaximum age
CI: confidence interval; PECS: pectoral nerve; ESP: erector spinae plane; TWI: thoracic wall local anesthesia infiltration; SMA: systemic multimodal analgesia.
PECS2228.415.9411.26725.77 - 31.041943
ESP2227.186.1541.31224.45 - 29.911945
SMA2225.655.1221.06823.44 - 27.871938
TWI2226.785.1251.06924.57 - 29.001938
Total8826.995.5880.58925.82 - 28.161945

 

Table 2. Mean Intraoperative MME Scores for Both Group A (T Therapy) and Group B (No T Therapy) With 95% CIs
 
GroupMean intraoperative MME (mg)95% CINumber of patients
CIs: confidence intervals; MME: morphine milligram equivalent.
Group A (T therapy)18.4516.0 - 20.954
Group B (no T therapy)21.5419.0 - 24.134