The Impact of Preoperative Combined Pectoserratus and/or Interpectoral Plane (Pectoralis Type II) Blocks on Opioid Consumption, Pain, and Overall Benefit of Analgesia in Patients Undergoing Minimally Invasive Cardiac Surgery: A Prospective, Randomized, Controlled, and Triple-blinded Trial
Authors' conclusion
Preoperative PSPB + IPPB reduced 24-hour postextubation opioid consumption, pain at extubation, and OBAS.
Study context
- Population
- Patients undergoing elective right-lateral minimally invasive cardiac surgery (MICS)
- Participants
- 60 patients
- Comparison
- Preoperative PSPB + IPPB with ropivacaine 0.5% vs saline
- Primary endpoint
- Total intravenous morphine milligram equivalents administered
- Follow-up
- First 24 hours after extubation
Methodological detailsprospective, triple-blinded, single-centre, Operating room and ICU of a university hospital
- Prospective
- Triple-blinded
- Single-centre
- Operating room and ICU of a university hospital
Primary result
As reported in the abstract
Total intravenous morphine milligram equivalents
- PSPB + IPPB vs Saline: P = 0.025
Secondary outcomes
| Outcome | P value |
|---|---|
| Overall Benefit of Analgesia Score (OBAS) · 24 hours after extubationSignificantly lower | P = 0.043 |
| VAS pain · after extubationSignificantly lower | P = 0.030 |
Visual Analogue Scale (VAS) pain · later points
- VAS did not differ between groups at later points
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
The Impact of Preoperative Combined Pectoserratus and/or Interpectoral Plane (Pectoralis Type II) Blocks on Opioid Consumption, Pain, and Overall Benefit of Analgesia in Patients Undergoing Minimally Invasive Cardiac Surgery: A Prospective, Randomized, Controlled, and Triple-blinded Trial. J Cardiothorac Vasc Anesth. Published 28 June 2024. doi:10.
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