Cardiothoracic & vascular anesthesia
Clinical Outcomes of Erector Spinae Plane Block for Midline Sternotomy in Cardiac Surgery: A Systematic Review and Meta‐Analysis
Authors' conclusion
Single-shot ESPB improves near-term clinical outcomes in patients undergoing cardiac surgery via sternotomy.
Study context
- Population
- Adults and children undergoing cardiac surgery via sternotomy
- Participants
- 695 adults · 10 studies
- Comparison
- Single-shot erector spinae plane block (ESPB) vs standard-of-care analgesia
Methodological detailsPubMed and EMBASE searched on July 19, 2023
- PubMed and EMBASE searched on July 19, 2023
Pooled result
As reported in the abstract
- Pain score at postoperative hour 4: SMD −2.95, 95% CI −5.86 to −0.04, p = 0.0466
- Duration of mechanical ventilation: SMD −1.23, 95% CI −2.21 to −0.24, p = 0.0145
- Cumulative postoperative opioid usage: SMD −1.48, 95% CI −2.46 to −0.49, p = 0.0033
- Postoperative nausea and vomiting (PONV) incidence: RR 0.4358, 95% CI 0.2105-0.9021, p = 0.0252
- No significant reduction in pain score at postoperative hour 12, hospital LOS and intensive care unit (ICU) LOS
- No primary endpoint named
Original publication
Clinical Outcomes of Erector Spinae Plane Block for Midline Sternotomy in Cardiac Surgery: A Systematic Review and Meta‐Analysis. J Cardiothorac Vasc Anesth. Published 16 December 2023. doi:10.
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