Prospective randomized controlled trial evaluates postoperative pain management in pediatric cardiac surgery, revealing no significant differences in pain control between blocks.
Objectives To explore the hypothesis that erector spinae plane block (ESPB) is not inferior to thoracic paravertebral block in postoperative pain control in pediatrics after cardiac surgery. Design A prospective, randomized, controlled study was performed. Settings The study was conducted at Sporting Student Hospital, Alexandria Governorate. Patients A pediatric age group of 2–5 years old of both sexes undergoing simple cardiac surgery was included in the study. Measurements and main results ESPB or thoracic paravertebral block was administered just before extubation in the ICU. Hemodynamics and pain were assessed over 12 h after the block. There were no differences related to pain assessment or rescue analgesia. There was significant hypotension with paravertebral block. Conclusion ESPB was not inferior to paravertebral block. It was more hemodynamically stable and consumed less time than paravertebral block.
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Mabrouk et al. (2025) studied this question.
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