Evidence map›Paper›PMID 39103782›Full record

Trial reportBMC anesthesiology2024

The analgesic effects of combined bilateral parasternal block and serratus anterior plane block for coronary artery bypass grafting surgery.

Emine Nilgün Zengin, Hülya Yiğit, Muhammed Çobas, Nevriye Salman, Zeliha Aslı Demir

4 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC anesthesiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

NCT05427955 nacompletednot on this map

Comparison of the Efficiency of Bi-Level ESPB and Single-Level ESPB for Postoperative Analgesia in Patients Undergoing VATS

TypeinterventionalSponsorAnkara City Hospital BilkentRan2022 to 2023Enrolled60ConditionsPain, Postoperative, Thoracic Surgery, Video-Assisted, Erector Spinae Plane Block, Multimodal AnalgesiaArmsOne-level Erector Spinae Plane Block, Bi-level Erector Spinae Plane Block
NCT07232992 nacompletednot on this mapstarted 2026, after this paper: background citation

The Effectiveness of the Serratus Posterior Superior Intercostal Plane Block on Postoperative Analgesia and Recovery in Open-heart Surgery: A Prospective, Double-blind, Randomized Controlled Trial.

TypeinterventionalSponsorBursa City HospitalRan2026 to 2026Enrolled70ConditionsSerratus Posterior Superior Intercostal Plane Block (SPSIPB), Open-heart SurgeryArmsSPSIPB blcok, Parasternal blocks, Local Infiltration
NCT07299760 nacompletednot on this mapstarted 2025, after this paper: background citation

Evaluation of the Analgesic Efficacy of Parasternal Block and Parasternal Plus Serratus Anterior Plane Block in Patients Undergoing Coronary Artery Bypass Grafting Surgery

TypeinterventionalSponsorDr Abdurrahman Yurtaslan Ankara Oncology Training and Research HospitalRan2025 to 2026Enrolled72ConditionsCoronary Artery Bypass GraftingArmsparasternal block, parasternal block + serratus anterior plane block
NCT07587320 narecruitingnot on this mapstarted 2026, after this paper: background citation

Effect of Induction-Time Multimodal Fascial Plane Block on Postoperative Analgesia and Opioid Consumption in Patients Undergoing Isolated Coronary Artery Bypass Grafting: A Prospective Randomized Controlled Trial

TypeinterventionalSponsorSaglik Bilimleri UniversitesiRan2026 to 2026Enrolled56ConditionsCoronary Artery Bypass Graft (CABG), Postoperative Pain, SternotomyArmsMultimodal Fascial Plane Block Package, Standard Postoperative Analgesia
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. Observational
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

5 authors.

Emine Nilgün ZenginAnkara Bilkent City Hospital, Anesthesiology and Reanimation Clinic, University of Health Sciences, Ankara, Turkey. nilbavullu@gmail.com.ORCID 0000-0002-7653-6405
Hülya YiğitAnkara Bilkent City Hospital, Anesthesiology and Reanimation Clinic, University of Health Sciences, Ankara, Turkey.ORCID 0000-0002-4104-6924
Muhammed ÇobasAnkara Bilkent City Hospital, Anesthesiology and Reanimation Clinic, University of Health Sciences, Ankara, Turkey.ORCID 0000-0003-0480-4930
Nevriye SalmanAnkara Bilkent City Hospital, Anesthesiology and Reanimation Clinic, University of Health Sciences, Ankara, Turkey.ORCID 0000-0001-9416-4177
Zeliha Aslı DemirAnkara Bilkent City Hospital, Anesthesiology and Reanimation Clinic, University of Health Sciences, Ankara, Turkey.ORCID 0000-0003-3053-0443

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere pain occurs after cardiac surgery in the sternum and chest tubes sites. Although analgesia targeting the sternum is often prioritized, the analgesia of the drain site is sometimes overlooked. This study of patients undergoing coronary artery bypass grafting (CABG) aimed to provide optimized analgesia for both the sternum and the chest tubes area by combining parasternal block (PSB) and serratus anterior plane block (SAPB).

methodsEthics committee approval (E.Kurul-E2-24-6176, 07/02/2024) was received for the study. Then, the trial was registered on www. CLINICALTRIALS: gov ( https://clinicaltrials.gov/ ) under the identifier NCT05427955 on 17/03/2024. Twenty patients between the ages of 18-80, with ASA physical status classification II-III, undergoing coronary artery bypass grafting CABG with sternotomy, were included. While the patients were under general anesthesia, PSB was performed through the second and fourth intercostal spaces, and SAPB was performed over the sixth rib. The primary outcome was VAS (Visual Analog Scale) during the first 12 h after extubation. The secondary outcomes were intraoperative remifentanil consumption and block-related side effects.

resultsThe average age of the patients was 64 years. Five patients were female, and 15 were male. For the sternum area, only one patient had resting VAS scores of 4, while the VAS scores for resting for the other patients were below 4. For chest tubes area, only two patients had resting VAS scores of 4 or above, while the resting VAS scores for the other patients were below 4. The patients' intraoperative remifentanil consumption averaged 2.05 mg. No side effects related to analgesic protocol were observed in any of the patients.

conclusionsIn this preliminary study where PSB and SAPB were combined in patients undergoing CABG, effective analgesia was achieved for the sternum and chest tubes area.

Indexed as

Coronary Artery BypassNerve BlockPostoperative PainAdultAgedAged, 80 and overAnalgesics, OpioidFemaleHumansMaleMiddle AgedPain MeasurementRemifentanilSternumYoung AdultAnalgesics, OpioidRemifentanilAcute painCardiac surgeryChest tube site painDrain painParasternal blockSerratus anterior plane blockSternotomy pain

Identifiers

PMID39103782
PMCPMC11299404

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.