Cardiothoracic & vascular anesthesia
The Analgesic Effect of Ultrasound-guided Erector Spinae Plane Block in Median Sternotomy Cardiac Surgery in Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials
Authors' conclusion
Erector spinae plane block decreased pain scores within 12 hours after extubation, reached the minimal clinically important difference within 6 hours, and decreased opioid consumption 24 hours after surgery, based on data of very low to moderate quality.
Study context
- Population
- Adults undergoing median sternotomy cardiac surgery
- Participants
- 543 adults · 8 RCTs
- Comparison
- Ultrasound-guided ESP block vs no block or sham block
- Outcome
- Pain scores and opioid consumption
Methodological detailssensitivity analysis
- Sensitivity analysis
Pooled result
As reported in the abstract
ESP block vs No block or sham blockMD (95% CI)
Pain score immediately after extubation; p for heterogeneity = 0.10
−1.19(−1.67 to −0.71)
Pain score 6 h after extubation; p for heterogeneity < 0.0001
−1.96(−2.85 to −1.08)
Pain score 12 h after extubation; p for heterogeneity < 0.00001
−0.98(−1.55 to −0.40)
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
The Analgesic Effect of Ultrasound-guided Erector Spinae Plane Block in Median Sternotomy Cardiac Surgery in Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials. J Cardiothorac Vasc Anesth. Published 22 May 2024. doi:10.
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