Pediatric anesthesia & critical care
Bilateral Ultrasound-Guided Mid-Point Transverse Process to Pleura Block for Perioperative Analgesia in Pediatric Cardiac Surgery: A Randomized Controlled Study
Authors' conclusion
Single-shot bilateral ultrasound-guided MTP block in children undergoing cardiac surgery reduced the mean fentanyl consumption in the first postoperative 24 hours, intraoperative fentanyl requirements, pain score at rest, time to extubation, and duration of ICU stay.
Study context
- Population
- Children aged 2 to 10 years undergoing open-heart surgery, University Children's Hospital
- Participants
- 52 children
- Comparison
- Bilateral MTP block vs no block
- Primary endpoint
- Postoperative fentanyl consumption (µg/kg)
- Follow-up
- First 24 hours
Methodological detailssingle-centre, double-blinded, superiority
- Single-centre
- Double-blinded
- Superiority
Primary result
As reported in the abstract
Postoperative fentanyl consumption
P < 0.001
Secondary outcomes
Intraoperative fentanyl requirement
P < 0.001
ICU LOS
P < 0.001
Modified objective pain score (MOPS) · 1, 4, 8, 16 and 24 hours after extubation
- Significantly lower with MTP block at 1, 4, 8 and 16 hours; comparable at 24 hours
Original publication
Bilateral Ultrasound-Guided Mid-Point Transverse Process to Pleura Block for Perioperative Analgesia in Pediatric Cardiac Surgery: A Randomized Controlled Study. J Cardiothorac Vasc Anesth. Published 14 May 2023. doi:10.
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