Cardiothoracic & vascular anesthesia

Impact of superficial and deep parasternal blocks on recovery after cardiac surgery with sternotomy: a randomised controlled trial

Br J AnaesthPublished Randomised controlled trial

Authors' conclusion

Regional anaesthesia by parasternal intercostal plane blocks after sternotomy did not improve QoR at 24 h compared with standard care.

Study context

Population
Adults undergoing cardiac surgery with sternotomyrandomised
Participants
254 adults
Comparison
SPIP or DPIP block plus standard care vs standard care alone
Primary endpoint
Quality of recovery (QoR) (French validated version of the QoR-15 questionnaire)
Follow-up
24 h after surgery
Methodological detailssingle-centre, single-blind, three groups, 1:1:1 allocation, Between July 1, 2022, and August 30, 2023
  • Single-centre
  • Single-blind
  • Three groups, 1:1:1 allocation
  • Between July 1, 2022, and August 30, 2023

Primary result

As reported in the abstract

QoR-15 scores did not significantly differ between any parasternal block group (SPIP or DPIP) and the standard care group
P=0.248

Secondary outcomes

Postoperative pain and analgesic consumption · 24 h

24-h NRS, median [IQR]
2.0 [3.0-0.0]
Similar across groups

Safety

Pneumothorax

More pneumothoraces in the DPIP group
P = 0.032

Other complications

No significant differences

Original publication

Impact of superficial and deep parasternal blocks on recovery after cardiac surgery with sternotomy: a randomised controlled trial. Br J Anaesth. Published 9 July 2025. doi:10.1016/j.bja.2025.05.043

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