Key result
An erector spinae plane block significantly reduced intraoperative fentanyl consumption compared to general anesthesia alone (0.9 mg vs 3.0 mg; p=0.01) during MIDCAB surgery.
Why the study?
No consensus exists on the preferred anesthesia method for coronary artery bypass grafting.
Does an erector spinae plane block reduce opioid consumption and improve postoperative analgesia in patients undergoing minimally invasive coronary artery bypass surgery?
RCT (n=37)
randomized
Yes
Does an erector spinae plane block reduce opioid consumption and improve postoperative analgesia in patients undergoing minimally invasive coronary artery bypass surgery?
Absolute Event Rate: 0.9% vs 3%
p-value: p=0.01
An erector spinae plane block significantly reduces intraoperative fentanyl and norepinephrine requirements and improves early postoperative analgesia in patients undergoing minimally invasive CABG.
ESP block may aid MIDCAB analgesia; leaves open need for larger trials before practice change.
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Stukalov et al. (2022) conducted an RCT in minimally invasive coronary artery bypass surgery (MIDCAB) (n=37). erector spinae plane (ESP) block vs. general anesthesia only was evaluated on fentanyl consumption for anesthesia (p=0.01). An erector spinae plane block significantly reduced intraoperative fentanyl consumption compared to general anesthesia alone (0.9 mg vs 3.0 mg; p=0.01) during MIDCAB surgery.
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