Cardiothoracic & vascular anesthesia
Efficacy of Superficial versus Deep Parasternal Intercostal Plane Blocks in Cardiac Surgery: A Systematic Review and Meta-Analysis
Pooled resultResult — go to the resultMean difference −1.23 95% CI −2.51 to 0.05Authors' conclusion
S-PIP and D-PIP blocks provide comparable postoperative analgesic efficacy in patients undergoing cardiac surgery.
Study context
- Population
- Patients undergoing cardiac surgery7 randomized controlled trials (RCTs), 1 observational study
- Participants
- 510 patients
- Comparison
- Superficial parasternal intercostal plane (S-PIP) vs deep parasternal intercostal plane (D-PIP) block
- Outcome
- Postoperative opioid consumption (morphine milligram equivalent (MME))
- Follow-up
- 24 hours
Pooled result
As reported in the abstract
Mean difference
−1.23
95% CI −2.51 to 0.05
P = 0.061
S-PIP vs D-PIP
mean difference −1.23 (95% CI −2.51 to 0.05); P = 0.061
Further pooled results
Pain scores, time to rescue analgesics, extubation time, intensive care unit (ICU) length of stay (LOS)
- No significant differences between the 2 techniques
Safety
Postoperative nausea and vomiting (PONV) incidence
- No significant difference between the 2 techniques
Original publication
Efficacy of Superficial versus Deep Parasternal Intercostal Plane Blocks in Cardiac Surgery: A Systematic Review and Meta-Analysis. J Cardiothorac Vasc Anesth. Published 29 May 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →