Cardiothoracic & vascular anesthesia
Comparison of Erector Spinae Plane Block and Pectointercostal Facial Plane Block for Enhanced Recovery After Sternotomy in Adult Cardiac Surgery
Authors' conclusion
Erector spinae plane block and PIFPB were found to equally affect recovery after cardiac surgery, with comparable extubation times and intensive care unit length of stay.
Study context
- Population
- ASA class II to III patients aged 18-to-70 years scheduled for elective cardiac surgery
- Participants
- 100 participants
- Comparison
- Ultrasound-guided bilateral pectointercostal fascial plane block (PIFPB) vs erector spinae plane block (ESPB)
- Primary endpoint
- Time to extubation
Methodological detailsdouble-blinded
- Double-blinded
Primary result
As reported in the abstract
- ESPB vs PIFPB: P = 0.875
Further findings
Postoperative fentanyl consumption · statistically significantly lower in the ESPB group
P < 0.001
ICU LOS
P = 0.428
| Outcome | Difference (hours) | P value |
|---|---|---|
| Time to first analgesia requestFirst analgesia request 4 hours later in the ESPB group | 4 | P < 0.001 |
Postoperative pain score
- Statistically significant reduced pain score postoperatively in the ESPB group
Safety
| Outcome | PIFPB | ESPB |
|---|---|---|
| Nonsternal wound chest pain | 24% | 0 events |
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Comparison of Erector Spinae Plane Block and Pectointercostal Facial Plane Block for Enhanced Recovery After Sternotomy in Adult Cardiac Surgery. J Cardiothorac Vasc Anesth. Published 12 December 2023. doi:10.
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