Cardiothoracic & vascular anesthesia
Deep Parasternal Intercostal Plane Blocks and Their Role in a Cardiac Fast-Track Program
Authors' conclusion
DPIP blocks were associated with decreased perioperative opioid consumption, and earlier tracheal extubation after cardiac surgery.
Study context
- Population
- Adults undergoing cardiac surgery with median sternotomy, March 2021–February 2023, single tertiary care hospital
- Participants
- 308 adults
- Exposure
- Deep parasternal intercostal plane (DPIP) blocks vs no DPIP blocks after cardiac surgery
- Outcome
- Postoperative opioid (hydromorphone) consumption and postoperative delirium
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Postoperative hydromorphone consumption · 12 hours
P = 0.0004
Observational data: associations, not effects.
Further findings
Postoperative hydromorphone consumption · 24 hours
P = 0.007
| Outcome | DPIP | Control | OR (95% CI) | P value | |
|---|---|---|---|---|---|
| Postoperative delirium | 11% | 14.9% | 0.76 (0.38–1.53) | P = 0.45 | |
| 0.20.5125Odds ratio (log scale) |
Time to extubation
P = 0.04
Predictors of reduced hydromorphone requirements
- DPIP blocks, dexmedetomidine infusion and absence of composite comorbidities predicted reduced hydromorphone requirements
Major morbidity and mortality
- No difference between the two groups
Original publication
Deep Parasternal Intercostal Plane Blocks and Their Role in a Cardiac Fast-Track Program. J Cardiothorac Vasc Anesth. Published 17 May 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →