Cardiothoracic & vascular anesthesia
Erector spinae plane block versus intravenous opioid for analgesia in pediatric cardiac surgery: A systematic review and meta‐analysis
Authors' conclusion
Our findings suggest the ESPB might be an important adjunct to enhancing analgesia for midline sternotomies in pediatric cardiac surgery, potentially reducing intraoperative opioid requirements and ICU LOS.
Study context
- Population
- Pediatric cardiac surgery with midline sternotomy
- Participants
- 384 participants · 5 studies
- Comparison
- Erector spinae plane block (ESPB) vs intravenous (IV) opioid analgesia
- ESPBn = 178
- Outcome
- Intraoperative fentanyl consumption and intensive care unit (ICU) LOS
Pooled result
As reported in the abstract
Intraoperative fentanyl consumption; ICU LOS
ESPB vs IV opioidMD, μg.kg-1 (95% CI)P value
Intraoperative fentanyl use; I2 = 58%
−1.90(−3.15 to −0.66)
P = 0.003ESPB vs IV opioidMD, h (95% CI)P value
ICU LOS; I2 = 0%
−3.50(−4.32 to −2.69)
P < 0.0001Further pooled results
Postoperative opioid consumption, time to first rescue analgesia, pain scores, extubation time, hospital length of stay (LOS)
- No significant differences
Safety
Postoperative vomiting and other complications
- No significant differences
Original publication
Erector spinae plane block versus intravenous opioid for analgesia in pediatric cardiac surgery: A systematic review and meta‐analysis. Paediatr Anaesth. Published 15 October 2024. doi:10.
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