ArticleJournal of clinical medicine2023
Ultrasound Guided Parasternal Block for Perioperative Analgesia in Cardiac Surgery: A Prospective Study.
Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed.
- Effect of adding a superficial parasternal intercostal plane block to the serratus anterior plane block on postoperative analgesic outcomes in breast cancer surgery: a prospective, randomized, double-blind trial.Langenbeck's archives of surgery · 2026Trial
- Transcutaneous Auricular Vagus Nerve Stimulation and Pectoral-Intercostal Fascial Block for the Prevention of Chronic Postsurgical Pain in Elderly Patients Undergoing Off-Pump Coronary Artery Bypass Grafting: A 2×2 Factorial, Double-Blinded, Randomized Clinical Trial.Clinical interventions in aging · 2026Trial
- The analgesic effects of combined bilateral parasternal block and serratus anterior plane block for coronary artery bypass grafting surgery.BMC anesthesiology · 2024Trial
- Regional analgesia using ultrasound-guided intermediate cervical plexus block versus cervical erector spinae block for anterior cervical spine surgery: a randomized trial.BMC anesthesiology · 2024Trial
- Evaluation of the Effects of Pecto-Intercostal Fascial Plane Blocks on Extubation Time in Cardiac Surgery: A Retrospective Study.Journal of clinical medicine · 2026Article
- Ultrasound identification of absent rectus abdominis muscle after omphalocele repair altered regional anesthesia strategy in pediatric cardiac surgery: a case report.JA clinical reports · 2026Article
- Anesthetic Management of Eosinophilic Granulomatosis with Polyangiitis: A Narrative Review with an Illustrative Case in Cardiac Surgery.Journal of personalized medicine · 2026Review
- The Efficacy and Safety of Serratus Anterior Plane Block for Pain Management in Patients with Rib Fractures: a Narrative Review.Current pain and headache reports · 2025Review
- Management of analgesia in cardiac surgery.Pain management · 2025Review
- Bilateral parasternal and rectus sheath blocks reduce pain post-cardiac surgery: a pilot trial.Frontiers in surgery · 2025Article
- Ultrasound-Guided Analgesia in Cardiac and Breast Surgeries: A Cadaveric Comparison of SPIP Block with Single and Double Injections vs. DPIP Block.Life (Basel, Switzerland) · 2024Article
- Recent Advances in Perioperative Analgesia in Thoracic Surgery: A Narrative Review.Journal of clinical medicine · 2024Review
- Article
- Identifying Early Risk Factors for Postoperative Pulmonary Complications in Cardiac Surgery Patients.Medicina (Kaunas, Lithuania) · 2024Article
- Anesthesiologists ultrasound-guided regional anesthesia core curriculum: a Delphi consensus from Italian regional anesthesia experts.Journal of anesthesia, analgesia and critical care · 2024Review
- Beyond epidurals: Embracing the realities of fascial plane blocks for truncal and chest wall analgesia.Indian journal of anaesthesia · 2024Article
- Non-Neuraxial Chest and Abdominal Wall Regional Anesthesia for Intensive Care Physicians-A Narrative Review.Journal of clinical medicine · 2024Review
- Erector spinae plane block as an anesthesia technique for an emergent thoracotomy; a case report.BMC anesthesiology · 2024Article
- The Impact of Left Ventricular Diastolic Dysfunction on Respiratory Adverse Events in Cardiac Surgery Patients-An Observational Prospective Single-Center Study.Journal of clinical medicine · 2023Article
- Prevalence and risk factors of significant persistent pain symptoms after critical care illness: a prospective multicentric study.Critical care (London, England) · 2023Article
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Authors and funding
18 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Ultrasound guided parasternal block is a regional anaesthesia technique targeting the anterior branches of intercostal nerves, which supply the anterior thoracic wall. The aim of this prospective study is to assess the efficacy of parasternal block to manage postoperative analgesia and reduce opioid consumption in patients undergoing cardiac surgery throughout sternotomy. A total of 126 consecutive patients were allocated to two different groups, receiving (Parasternal group) or not (Control group) preoperative ultrasound guided bilateral parasternal block with 20 mL of 0.5% ropivacaine per side. The following data were recorded: postoperative pain expressed by a 0-10 numeric rating scale (NRS), intraoperative fentanyl consumption, postoperative morphine consumption, time to extubation and perioperative pulmonary performance at incentive spirometry. Postoperative NRS was not significantly different between Parasternal and Control groups with a median (IQR) of 2 (0-4.5) vs. 3 (0-6) upon awakening (
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