Cardiothoracic & vascular anesthesia
Comparison of Transversus Thoracis Muscle Plane Block and Pecto-Intercostal Fascial Plane Block for enhanced recovery after pediatric open-heart surgery
Authors' conclusion
In our series, TTPB provided better and longer-lasting postoperative analgesia with less incidence of non-sternal wound pain than PIFB.
Study context
- Population
- Children 2–12 years old undergoing cardiac surgery via median sternotomy (ultrafast track)
- Participants
- 60 children
- Comparison
- Bilateral ultrasound-guided TTPB vs PIFB, performed preemptively
- TTPBn = 30
- PIFBn = 30reference
Methodological detailsdouble-blind
- Double-blind
Primary result
As reported in the abstract
Postoperative pain (Modified Objective Pain Score, MOPS)
- TTPB had a lower median Modified Objective Pain Score (MOPS) all over the time postoperatively
Further findings
Postoperative fentanyl consumption
P < 0.001
Time to first rescue analgesia
P < 0.001
| Outcome | TTPB | PIFB | P value |
|---|---|---|---|
| Supplemental intraoperative fentanyl | 4/30 | 11/30 | P = 0.033 |
- ICU LOS — Comparable in both groups, median 3 days
- 3 · P = 0.919
Safety
Non-sternal wound chest pain
P < 0.05
Original publication
Comparison of Transversus Thoracis Muscle Plane Block and Pecto-Intercostal Fascial Plane Block for enhanced recovery after pediatric open-heart surgery. Anaesth Crit Care Pain Med. Published 7 April 2023. doi:10.
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