Pediatric anesthesia & critical care
Comparison of Multiple Injection Costotransverse Block and Erector Spinae Plane Block for Post-Sternotomy Pain Relief in Pediatric Patients Undergoing Cardiac Surgery: A Prospective Randomized Comparative Study
Authors' conclusion
Ultrasound-guided MICB was effective and comparable to ESPB for post-sternotomy pain management in pediatric cardiac surgical patients.
Study context
- Population
- Children with acyanotic congenital heart disease requiring cardiac surgery via sternotomy84 analysed
- Participants
- 90 children
- Comparison
- Ultrasound-guided multiple injection costotransverse block (MICB) vs erector spinae plane block (ESPB) vs control for post-sternotomy pain
- Primary endpoint
- Modified objective pain score (MOPS)
- Follow-up
- 0, 1, 2, 4, 6, 8, 10, and 12 hours postextubation
Methodological detailsprospective, double-blind, single-centre
- Prospective
- Double-blind
- Single-centre
Primary result
As reported in the abstract
MOPS
- No significant difference between ESPB and MICB
- ESPB and MICB vs Control: P < 0.05
- ESPB and MICB vs Control: P = 0.2198
Secondary outcomes
| Outcome | P value |
|---|---|
| Total intraoperative fentanyl consumptionESPB and MICB vs Control · significantly lower in both block groups | P = 0.0005 |
| Need for fentanyl supplementation on incisionESPB and MICB vs Control · significantly lower in both block groups | P < 0.0001 |
| Postoperative rescue opioid requirementESPB and MICB vs Control · significantly lower in both block groups | P = 0.034 |
Secondary outcomes, ESPB vs MICB
- No statistically significant differences between ESPB and MICB
Original publication
Comparison of Multiple Injection Costotransverse Block and Erector Spinae Plane Block for Post-Sternotomy Pain Relief in Pediatric Patients Undergoing Cardiac Surgery: A Prospective Randomized Comparative Study. J Cardiothorac Vasc Anesth. Published 29 December 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →