Cardiothoracic & vascular anesthesia
Effect of Bilateral Erector Spinae Plane Block versus Fentanyl Infusion on Postoperative Recovery in Cardiac Surgeries via Median Sternotomy: A Randomized Controlled Trial
Primary result · Time to extubationResult — go to the resultMean difference −143.7 minutes 95% CI −171.1 to −116.3Authors' conclusion
Among adult patients undergoing cardiac surgery through a midline sternotomy, the extubation time was halved in patients who received single-shot bilateral ESPB compared to patients who received fentanyl infusion.
Study context
- Population
- Patients aged 18 to 70 years undergoing cardiac surgery through a midline sternotomy, Cairo University Hospital and National Heart Institute, Egypt219 analysed
- Comparison
- Erector spinae plane block (ESPB) vs Control
- Primary endpoint
- Time to extubation
Primary result
As reported in the abstract
Mean difference
−143.7 minutes
95% CI −171.1 to −116.3
P = 0.0001
By group
ESPB vs Control
mean difference −143.7 minutes (95% CI −171.1 to −116.3); P = 0.0001
Further findings
Ultra-fast track (immediate postoperative) extubation
ICU LOS
P = 0.0001
| Outcome | P value |
|---|---|
| Pain score (NRS) · up to 24 hours postoperatively | P = 0.001 |
Pain score (numerical rating score (NRS)) · up to 24 hours postoperatively
- Greater reduction in NRS in the ESPB group vs control
Original publication
Effect of Bilateral Erector Spinae Plane Block versus Fentanyl Infusion on Postoperative Recovery in Cardiac Surgeries via Median Sternotomy: A Randomized Controlled Trial. J Cardiothorac Vasc Anesth. Published 26 July 2024. doi:10.
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