Cardiothoracic & vascular anesthesia
Superficial parasternal intercostal plane blocks in cardiac surgery: a systematic review and meta-analysis
An erratum to this article was published (Can J Anaesth, Nov 2024 ↗)
Authors' conclusion
The literature suggests a potential benefit of using superficial parasternal blocks to improve acute postoperative pain control after cardiac surgery via midline sternotomy.
Study context
- Population
- Adults undergoing cardiac surgery via midline sternotomy
- Participants
- 756 adults · 11 randomized controlled trials (RCTs)
- Comparison
- Superficial parasternal intercostal plane blocks in cardiac surgery via midline sternotomy
- Outcome
- Opioid consumption
- Follow-up
- 12 hr
Methodological detailsrandom-effects model, prespecified subgroups
- Random-effects model
- Prespecified subgroups
Pooled result
As reported in the abstract
Opioid consumption (mg iv morphine equivalents)
Reduction in opioid consumption in the single study reporting it
−11.2
mg iv morphine equivalents; 95% CI −8.2 to −14.1
Further pooled results
Opioid consumption (mg iv morphine equivalents) · 24 hr
- Reduction in opioid consumption
- −7.2 (mg iv morphine equivalents; 95% CI −5.6 to −8.7)
- 5 trials; 436 participants
- Moderate certainty evidence
Safety
- None detected in all 5 studies measuring complications (196 blocks)
- 0
Original publication
Superficial parasternal intercostal plane blocks in cardiac surgery: a systematic review and meta-analysis. Can J Anaesth. Published 5 March 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →