Cardiothoracic & vascular anesthesia
Additive value of superficial parasternal intercostal plane block and serratus anterior plane block in lung transplantation surgery: a retrospective exploratory study
Main finding · Tracheal extubation rateResult — go to the resultOdds ratio 1.18 95% CI 1.04–1.33Authors' conclusion
They are associated with faster tracheal extubation and lower opioid consumption.
Study context
- Population
- Patients undergoing lung transplantation (LTx)included in the analysis
- Participants
- 60 patients
- Exposure
- Control vs Intervention
- Controln = 35reference
- Interventionn = 25
- Outcome
- Tracheal extubation rates, pain scores and opioid consumption
- Follow-up
- Until 72 hours postoperatively
Main finding
Tracheal extubation rate · 8 hours postoperatively
Odds ratio
1.18
95% CI 1.04–1.33
P = 0.02
By group
Intervention vs Control
OR 1.18 (95% CI 1.04–1.33); P = 0.02
As reported in the abstract
Observational data: associations, not effects.
Further findings
Median
| Outcome | Control | Intervention | β (95% CI) | P value |
|---|---|---|---|---|
| Opioid consumption (MME) · 24 hoursUnadjusted · lower opioid consumption in the intervention group | 405 (IQR 300–490) | 266 (IQR 168–366) | P = 0.02 | |
| Opioid consumption (MME) · 24 hoursAdjusted for known prognostic factors · lower opioid consumption in the intervention group | −118 (−221 to 14) | P = 0.03 |
Safety
- Superficial parasternal intercostal plane (sPIP) and serratus anterior plane (SAP) blocks safe in LTx involving extracorporeal membrane oxygenation (ECMO) and clamshell incision
Original publication
Additive value of superficial parasternal intercostal plane block and serratus anterior plane block in lung transplantation surgery: a retrospective exploratory study. Reg Anesth Pain Med. Published 29 January 2024. doi:10.
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