Evidence map›Paper›PMID 39958327›Full record

ArticlePaediatric & neonatal pain2025

A Retrospective Analysis of Superficial Cervical Plexus Blockade for Children Undergoing Otologic Surgery.

Gregory C Miller, Nneoma S Wamkpah, Ashley B Weinhold, David S Leonard, Judith E C Lieu, Jacob D AuBuchon

Abstract read
In one paragraph

Article in Paediatric & neonatal pain, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

6 authors.

Gregory C MillerDivision of Pediatric Anesthesiology, Department of Anesthesiology Washington University in St. Louis St. Louis Missouri USA.ORCID https://orcid.org/0000-0002-0164-0021
Nneoma S WamkpahDepartment of Otolaryngology-Head and Neck Surgery Washington University in St. Louis St. Louis Missouri USA.
Ashley B WeinholdDivision of Pediatric Anesthesiology, Department of Anesthesiology Washington University in St. Louis St. Louis Missouri USA.
David S LeonardDivision of Pediatric Otolaryngology, Department of Otolaryngology-Head and Neck Surgery Washington University in St. Louis St. Louis Missouri USA.
Judith E C LieuDivision of Pediatric Otolaryngology, Department of Otolaryngology-Head and Neck Surgery Washington University in St. Louis St. Louis Missouri USA.
Jacob D AuBuchonDivision of Pediatric Anesthesiology, Department of Anesthesiology Washington University in St. Louis St. Louis Missouri USA.

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI AIMEE S JAMES · 2001 to 2026
$128.0M
WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
DEVELOPMENT OF CLINICIAN/RESEARCHERS IN ACADEMIC ENTT32DC000022 · NIDCD · WASHINGTON UNIVERSITY · PI PICCIRILLO, JAY F. · 1989 to 2022
$5.6M
NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1 TR002345NCI NIH HHS P30 CA091842NIDCD NIH HHS T32 DC000022
6 · The paper itself

Abstract

Superficial cervical plexus blocks (SCPB) are well documented for anterior and lateral neck surgeries in adults. Their role in the pediatric population is less clear. Our objective was to determine whether superficial cervical plexus blockade reduced postoperative nausea and vomiting (PONV) in children undergoing otologic surgery. This single-center retrospective cohort study evaluated patients aged 1-18 years old undergoing cochlear implantation, tympanomastoidectomy, tympanoplasty, or myringoplasty via a postauricular incision over a 27-month period. Patients undergoing bilateral surgery, concurrent surgery (exclusive of myringotomy or endoscopic otologic procedures), or transcanal-only otologic procedures were excluded. The primary outcome was PONV as measured by antiemetic use or documented nausea or vomiting among patients who received a SCPB compared to patients who did not receive a block. Secondary outcomes included opioid use, length of stay in the postoperative anesthesia care unit and hospital, time to oral intake, postoperative pain scores, and adverse events. Multilinear regression analyzed the effect of independent variables on the primary outcome. Analyses were stratified by surgery type. A total of 237 patients met inclusion criteria; 121 patients (51%) received a SCPB. There was no statistically significant difference in PONV outcomes between the two groups (proportion difference 4.5%, 95% CI -7.5% to 16.5%) despite lower intraoperative opioid administration to patients in the SCPB group (intravenous morphine equivalents per kg -0.04 mg, 95% CI -0.08 to 0,

Indexed as

nerve blockopioidotologic surgerypediatric anesthesiologypediatric otolaryngologyPONVpostoperative painSCPBsuperficial cervical plexus block

Identifiers

PMID39958327
PMCPMC11828746

What OpenQuestion holds

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Registered trials

None linked

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.