Cardiothoracic & vascular anesthesia

Deep Parasternal Intercostal Plane Block for Intraoperative Pain Control in Cardiac Surgical Patients for Sternotomy: A Prospective Randomized Controlled Trial

J Cardiothorac Vasc AnesthPublished Randomised controlled trial

Authors' conclusion

Bilateral DPIP block provides effective intraoperative analgesia and opioid-sparing.

Study context

Population
Elective cardiac surgical patients with median sternotomy, academic university hospitalrecruited
Participants
86 patients
Comparison
Deep parasternal intercostal plane (DPIP) vs Control
Primary endpoint
Intraoperative opioid consumption and hemodynamic changes at sternotomy
Methodological detailsdouble-blinded, prospective, single-centre
  • Double-blinded
  • Prospective
  • Single-centre

Primary result

As reported in the abstract

Intraoperative opioid requirement (IV morphine equivalence)

P < 0.001

Secondary outcomes

Time to tracheal extubation, postoperative morphine consumption, postoperative pain score, spirometry

No difference

Original publication

Deep Parasternal Intercostal Plane Block for Intraoperative Pain Control in Cardiac Surgical Patients for Sternotomy: A Prospective Randomized Controlled Trial. J Cardiothorac Vasc Anesth. Published 30 November 2023. doi:10.1053/j.jvca.2023.11.038

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