Cardiothoracic & vascular anesthesia
Safety and feasibility of ultrasound-guided serratus anterior plane block and intercostal nerve block for management of post-sternotomy pain in pediatric cardiac patients: A prospective, randomized trial
Authors' conclusion
Ultrasound-guided SAPB and ICNB provided safe and satisfactory early postoperative analgesia while reducing opioid consumption following sternotomy in pediatric patients.
Study context
- Population
- Children after sternotomy for cardiac surgery, in the cardiothoracic ICU
- Participants
- 60 children
- Comparison
- Ultrasound-guided SAPB or ICNB plus IV opioids vs IV opioids alone
- Primary endpoint
- Opioid requirement
- Follow-up
- First 24 h after surgery
Methodological detailsprospective
- Prospective
Primary result
As reported in the abstract
Cumulative opioid dose · 24 h
P = 0.000
Further findings
| Outcome | P value |
|---|---|
| Tracheal extubation timeSAPB and ICNB vs C · shorter in block groups, not statistically significant | P = 0.177 |
FLACC scale values · 0, 1, 3, 6, 12, and 24 h post-extubation
- Similar in the three groups
Safety
Mean, mg.L-1
| Outcome | SAPB | ICNB |
|---|---|---|
| Peak plasma ropivacaine concentration · 10 min post-blockThen slowly decreased | 2.1 (SD 0.8) | 1.8 (SD 0.7) |
Complications associated with regional anesthesia
- No noticeable complications observed
Original publication
Safety and feasibility of ultrasound-guided serratus anterior plane block and intercostal nerve block for management of post-sternotomy pain in pediatric cardiac patients: A prospective, randomized trial. Anaesth Crit Care Pain Med. Published 24 June 2023. doi:10.
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