Pain medicine

Combined erector spinae plane block with surgical intercostal nerve cryoablation for Nuss procedure is associated with decreased opioid use and length of stay

Reg Anesth Pain MedPublished Retrospective before-and-after study

Authors' conclusion

In a single-center academic practice, the addition of bilateral single injection ESP blocks at T6 to surgeon performed cryoablation reduced opioid consumption without a change in subjectively reported pain scores.

Study context

Population
Patients undergoing the Nuss procedure for pectus excavatum, single academic medical center
Participants
20 vs 20
Exposure
Erector spinae plane (ESP) vs Control
  • ESPn = 20
  • Controln = 20reference
Outcome
Postoperative pain scores, total hospital opioid use, and hospital LOS
Methodological detailssingle-centre, historical control cohort, pilot study
  • Single-centre
  • Historical control cohort
  • Pilot study

Safety

No adverse events related to block placement identified

Original publication

Combined erector spinae plane block with surgical intercostal nerve cryoablation for Nuss procedure is associated with decreased opioid use and length of stay. Reg Anesth Pain Med. Published 5 July 2023. doi:10.1136/rapm-2023-104407

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