Cardiothoracic & vascular anesthesia

Maximum extension and regression rate of cutaneous sensory block: superficial vs. deep parasternal intercostal plane blocks in patients undergoing open cardiac surgery

J Clin AnesthPublished Prospective observational study

Authors' conclusion

The S-PIP and D-PIP blocks provided comparable and extensive sensory coverage of the anterior thorax.

Study context

Population
Patients undergoing open cardiac surgery (median sternotomy)
Participants
30 patients
Exposure
Superficial vs deep parasternal intercostal plane block
  • S-PIPn = 15
  • D-PIPn = 15
Outcome
Proportion of the blocked thoracic area (cold stimulation, dermatomal mapping)
Follow-up
30 min
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Total blocked area

P = 0.584

Observational data: associations, not effects.

Secondary outcomes

Postoperative opioid consumption — Opioid consumption, S-PIP vs D-PIP · no significant difference
10 [5] mg vs. 9 [3] mg · P = 0.121

Dermatomal coverage · 30 min

Both blocks gave consistent coverage of T2-T6, with T1 and T7 also involved in some patients

Regression of sensory block · 12 h and 24 h

Significant sensory block persisted at 12 h and partially regressed after 24 h

Pain scores · 12 and 24 h

No significant difference between groups

Original publication

Maximum extension and regression rate of cutaneous sensory block: superficial vs. deep parasternal intercostal plane blocks in patients undergoing open cardiac surgery. J Clin Anesth. Published 30 May 2025. doi:10.1016/j.jclinane.2025.111888

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