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Effectiveness of Erector Spinae Plane Block as Perioperative Analgesia in Midline Sternotomies: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
Patel, Nimesh; Fayed, Mohamed; Maroun, Wissam; Milad, Hannah; Adlaka, Katie; Schultz, Lonnie; Aiyer, Rohit; Forrest, Patrick; Mitchell, John D.
Afiliación
  • Patel N; Department of Anesthesiology and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA.
  • Fayed M; Department of Anesthesiology and Pain Medicine, Montefiore Medical Center, Bronx, NY, USA.
  • Maroun W; Department of Anesthesiology and Pain Medicine, Henry Ford Health, Detroit, MI, Fullerton, USA.
  • Milad H; Wayne State University School of Medicine, Detroit, MI, Fullerton, USA.
  • Adlaka K; Wayne State University School of Medicine, Detroit, MI, Fullerton, USA.
  • Schultz L; Department of Anesthesiology and Pain Medicine, Henry Ford Health, Detroit, MI, Fullerton, USA.
  • Aiyer R; Westside Pain management, Long Beach, CA, USA.
  • Forrest P; Department of Anesthesiology and Pain Medicine, Henry Ford Health, Detroit, MI, Fullerton, USA.
  • Mitchell JD; Department of Anesthesiology and Pain Medicine, Henry Ford Health, Detroit, MI, Fullerton, USA.
Ann Card Anaesth ; 27(3): 193-201, 2024 Jul 01.
Article en En | MEDLINE | ID: mdl-38963353
ABSTRACT
ABSTRACT With the advancements in regional anesthesia and ultrasound techniques, the use of non-neuraxial blocks like the erector spinae plane block (ESPB) has been increasing in cardiac surgeries with promising outcomes. A total of 3,264 articles were identified through a literature search. Intervention was defined as ESPB. Comparators were no regional technique performed or sham blocks. Four studies with a total of 226 patients were included. Postoperative opioid consumption was lower in the group that received ESPB than the group that did not (weighted mean difference [WMD] -204.08; 95% CI -239.98 to -168.19; P < 0.00001). Intraoperative opioid consumption did not differ between the two groups (WMD -398.14; 95% CI -812.17 to 15.98; P = 0.06). Pain scores at 0 hours were lower in the group that received ESPB than the group that did not (WMD -1.27; 95% CI -1.99 to -0.56; P = 0.0005). Pain scores did not differ between the two groups at 4-6 hours (WMD -0.79; 95% CI -1.70 to 0.13; P = 0.09) and 12 hours (WMD -0.83; 95% CI -1.82 to 0.16; P = 0.10). Duration of mechanical ventilation in minutes was lower in the group that received ESPB than the group that did not (WMD -45.12; 95% CI -68.82 to -21.43; P = 0.0002). Given the limited number of studies and the substantial heterogeneity of measured outcomes and interventions, further studies are required to assess the benefit of ESPB in midline sternotomies.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Postoperatorio / Ensayos Clínicos Controlados Aleatorios como Asunto / Músculos Paraespinales / Bloqueo Nervioso Límite: Humans Idioma: En Revista: Ann Card Anaesth Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: India

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Postoperatorio / Ensayos Clínicos Controlados Aleatorios como Asunto / Músculos Paraespinales / Bloqueo Nervioso Límite: Humans Idioma: En Revista: Ann Card Anaesth Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: India