Cardiothoracic & vascular anesthesia
Intraoperative Fascial Plane Blocks Facilitate Earlier Tracheal Extubation and Intensive Care Unit Discharge After Cardiac Surgery: A Retrospective Cohort Analysis
An erratum to this article was published (J Cardiothorac Vasc Anesth, Aug 2023 ↗)
Main finding · Tracheal extubation timeResult — go to the resultPredicted extubation time difference (b coefficient) 9.29 hours 95% CI −11.98 to −6.60Authors' conclusion
Fascial plane block is associated with reduced extubation times and lengths of ICU stay. ESP block achieved the best performance, followed by PECs and SAP blocks. After PS matching, only ESP block reduced the extubation time.
Study context
- Population
- Patients undergoing cardiac surgery, single centre, 2018589 screened
- Participants
- 532 patients
- Exposure
- Block vs Intravenous analgesia
- Blockn = 404
- Outcome
- Tracheal extubation time
Methodological detailssingle-centre, propensity-score matched, propensity-score weighted
- Single-centre
- Propensity-score matched
- Propensity-score weighted
Main finding
As reported in the abstract
Predicted extubation time difference (b coefficient)
9.29 hours
95% CI −11.98 to −6.60
P = 0.022
Observational data: associations, not effects.
Secondary outcomes
| Outcome | Estimate | P value |
|---|---|---|
| Tracheal extubation time (PS weighting)In favor of the block | reduction (b coefficient) 7.82 hours (95% CI −11.89 to −3.75) | P < 0.001 |
| ICU LOS | decrease (b coefficient) 1.1 days (95% CI −1.43 to −0.79) | P = 0.0001 |
Extubation time by block type
- ESP block achieved the best performance
Safety
- No complications were reported
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Intraoperative Fascial Plane Blocks Facilitate Earlier Tracheal Extubation and Intensive Care Unit Discharge After Cardiac Surgery: A Retrospective Cohort Analysis. J Cardiothorac Vasc Anesth. Published 26 November 2022. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →