Cardiothoracic & vascular anesthesia
Deep Parasternal Intercostal Plane Block for Postoperative Analgesia After Sternotomy for Cardiac Surgery—A Retrospective Cohort Study
Main finding · Cumulative opioid consumptionResult — go to the resultEstimated multiplicative change 0.42 95% CI 0.32–0.56Authors' conclusion
The use of DPIP blocks in patients undergoing cardiac surgery via median sternotomy was associated with less opioid use and improved pain scores in the early postoperative period compared with patients not receiving blocks.
Study context
- Population
- Adults having elective cardiac surgery via median sternotomy, large quaternary referral center, January 1, 2016, to August 14, 2020matched cohort
- Participants
- 113 vs 3,461
- Exposure
- Bilateral deep parasternal intercostal plane (DPIP) blocks vs no DPIP block
- DPIP blockn = 113
- No DPIP blockn = 3,461reference
- Outcome
- Cumulative opioid consumption
- Follow-up
- 24 hours
Methodological detailssingle-centre, matched cohort
- Single-centre
- Matched cohort
Main finding
As reported in the abstract
Estimated multiplicative change
0.42
95% CI 0.32–0.56
P < 0.001
DPIP block vs No DPIP block
estimated multiplicative change 0.42 (95% CI 0.32–0.56); P < 0.001
Observational data: associations, not effects.
Further findings
| Outcome | DPIP block | No DPIP block | Inverse probability of treatment weighting OR (95% CI) | P value | |
|---|---|---|---|---|---|
| Atrial fibrillation incidence (exploratory analysis)Exploratory analysis | 2% | 15% | 0.088 (0.02–0.41) | P = 0.002 | |
| 0.050.21520Inverse probability of treatment weighting OR (log scale) |
Average pain score, postoperative day (POD) 0
- Proportional OR for average pain score, lower with blocks
- 0.46 (95% CI 0.32-0.65; p < 0.001)
Average pain score, POD 1
- Proportional OR for average pain score, lower with blocks
- 0.67 (95% CI 0.47-0.94; p = 0.021)
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Deep Parasternal Intercostal Plane Block for Postoperative Analgesia After Sternotomy for Cardiac Surgery—A Retrospective Cohort Study. J Cardiothorac Vasc Anesth. Published 4 October 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →