Cardiothoracic & vascular anesthesia
Impact of superficial and deep parasternal blocks on recovery after cardiac surgery with sternotomy: a 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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