Authors' recommendations: Patients undergoing breast surgery have a notable risk of developing persistent pain lasting for more than 3 months following the procedure. Paravertebral blocks (PVBs) may be used in breast surgery as part of anesthetic care, and have been linked to reduced acute postoperative pain. Rationale: Given that increased acute pain is a notable risk factor for the development of chronic pain, there is interest in whether PVBs may be associated with reductions in longer-term postsurgical pain as well. Controversy: While there is evidence that PVBs are associated with decreased short-term pain following breast surgery, it is unclear whether long-term pain outcomes are also improved. Furthermore, there are many techniques for PVB administration, and optimal protocols and patient selection criteria have not been established. Relevant Questions: In adults undergoing breast surgery, is PVB effective for preventing chronic postsurgical pain (lasting > 3 months), improving quality of life (QOL), and reducing postoperative analgesic use? How does PVB compare with sham and alternative treatments for preventing chronic postsurgical pain, improving QOL, and reducing postoperative analgesic use? What complications are associated with PVB? Have patient selection criteria been established for the use of PVB for prevention of chronic pain following breast surgery?

Project Status: Completed

Year Published: 2017

URL for published report: The report may be purchased from: http://www.hayesinc.com/hayes/crd/?crd=69846

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: United States

Organisation Name: HAYES, Inc.

Contact Address: 157 S. Broad Street, Suite 200, Lansdale, PA 19446, USA. Tel: 215 855 0615; Fax: 215 855 5218

Contact Name: saleinfo@hayesinc.com

Contact Email: saleinfo@hayesinc.com

Copyright: Winifred S. Hayes, Inc