Cardiothoracic & vascular anesthesia

The Use of Unilateral Erector Spinae Plane Block in Minimally Invasive Cardiac Surgery

J Cardiothorac Vasc AnesthPublished Retrospective nonrandomised study

Authors' conclusion

Erector spinae plane catheter use may safely improve postoperative measures, including decreased opioid consumption and improved pain relief, as well as reductions in ICU and hospital lengths of stay in patients undergoing minimally invasive cardiac surgery.

Study context

Population
Adults undergoing minimally invasive cardiac surgery with CPB or ECMO
Participants
129 adults
Exposure
Group 1 vs Group 2
Outcome
Total 48-hour opioid consumption (morphine equivalents)
Follow-up
48 hours
Methodological detailssingle-centre, tertiary academic institution
  • Single-centre
  • Tertiary academic institution

Main finding

As reported in the abstract

P = 0.04

Observational data: associations, not effects.

Further findings

OutcomeValuesP value
ICU LOSTreatment vs ControlTreatment 1.99 ± 1.7 days · Control 2.65 ± 2.4 daysP = 0.03
Overall hospital LOSPatients receiving the blocks vs ControlPatients receiving the blocks 5.93 ± 2.4 days · Control 7.35 ± 5.8 daysP = 0.04

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

The Use of Unilateral Erector Spinae Plane Block in Minimally Invasive Cardiac Surgery. J Cardiothorac Vasc Anesth. Published 6 December 2022. doi:10.1053/j.jvca.2022.11.039

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