Evidence map›Paper›PMID 38429852›Full record

ArticleJournal of anesthesia, analgesia and critical care2024

To evaluate the analgesic effectiveness of bilateral erector spinae plane block versus thoracic epidural analgesia in open cardiac surgeries approached through midline sternotomy.

Hilal Ahmad Bhat, Talib Khan, Arun Puri, Jatin Narula, Altaf Hussain Mir, Shaqul Qamar Wani, Hakeem Zubair Ashraf, Suhail Sidiq, Saima Kabir

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of anesthesia, analgesia and critical care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06608290 (Association Between the Application of Parasternal Blockade and Serum Lactate Level in Trans and Post-anesthetic Stages in Cardiac Surgery.), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

NCT06608290 phase3completednot on this map

Association Between the Application of Parasternal Blockade and Serum Lactate Level in Trans and Post-anesthetic Stages in Cardiac Surgery.

TypeinterventionalSponsorInstituto Mexicano del Seguro SocialRan2022 to 2024Enrolled86ConditionsParasternal Block, Cardiac Surgery, Serum LactateArmsparasternal block, Lactate serum level
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

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  2. Trial
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Hilal Ahmad BhatDepartment of Anaesthesiology, Sher I Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Jammu and Kashmir, 190011, India.
Talib KhanDepartment of Anaesthesiology, Sher I Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Jammu and Kashmir, 190011, India. drtalibkhan@hotmail.com.ORCID http://orcid.org/0000-0002-2211-5701
Arun PuriDepartment of Anaesthesiology and Pain Management, Max Super-Specialty Hospital Patparganj, New Delhi, 110091, India.
Jatin NarulaDepartment of Cardiac Anaesthesia, Amrita Hospital, Faridabad, Haryana, 121002, India.
Altaf Hussain MirDepartment of Anaesthesiology, Sher I Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Jammu and Kashmir, 190011, India.
Shaqul Qamar WaniDepartment of Radiation Oncology, Sher I Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Jammu and Kashmir, 190011, India.
Hakeem Zubair AshrafDepartment of Cardiovascular and Thoracic Surgery, Sher I Kashmir Institute of Medical Sciences (SKIMS), Jammu and Kashmir, Srinagar, 190011, India.
Suhail SidiqDepartment of Critical Care Medicine, Sher I Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Jammu and Kashmir, 190011, India.
Saima KabirDepartment of Anaesthesiology, Sher I Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Jammu and Kashmir, 190011, India.
Sher-i-Kashmir Institute of Medical Sciences · INAmrita Institute of Medical Sciences and Research Centre · INMax Super Speciality Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe efficacy of the erector spinae plane (ESP) block in mitigating postoperative pain has been shown for a range of thoracic and abdominal procedures. However, there is a paucity of literature investigating its impact on postoperative analgesia as well as its influence on weaning and subsequent recovery in comparison to thoracic epidural analgesia (TEA) in median sternotomy-based approach for open-cardiac surgeries and hence the study.

methodsIrrespective of gender or age, 74 adult patients scheduled to undergo open cardiac surgery were enrolled and randomly allocated into two groups: the Group TEA (thoracic epidural block) and the Group ESP (bilateral Erector Spinae Plane block). The following variables were analysed prospectively and compared among the groups with regard to pain control, as determined by the VAS Scale both at rest (VAS

resultsClinical and demographic variables were similar in both groups. Both groups had overall good pain control, as determined by the VAS scale both at rest (VAS

conclusionsThe ESP block has been found to have optimal analgesic effects during open cardiac surgery, resulting in a decreased need for additional analgesic doses and eliminating the possibility of a coagulation emergency. Consequently, it presents itself as a safer alternative to the potentially invasive thoracic epidural analgesia (TEA).

Indexed as

Enhanced recovery after cardiac surgeryErector spinae plane blockMedian sternotomyOpen cardiac surgeriesPerioperative analgesiaRescue analgesiaThoracic epidural analgesiaVisual analogue scale

Identifiers

PMID38429852
PMCPMC10905884
OpenAlexW4392354661

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.