Evidence map›Paper›PMID 40627369›Full record

Trial reportEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery2025

Superficial Parasternal Intercostal Plane Block and Full Sternotomy; A Randomized Trial.

Antti Kalli, Julia Vistbacka, Eeva Moilanen, Kati Järvelä, Ari Mennander

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Not yet cited in PubMed.

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

NCT03704753 phase4unknown statusnot on this map

New Truncal Nerve Blocks for Thoracoscopic Surgery and Open Heart Surgery.

TypeinterventionalSponsorTampere University HospitalRan2019 to 2025Enrolled200ConditionsPostoperative PainArmsRopivacaine, Sodium chloride 0.9%
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Antti KalliFaculty of Medicine and Health Technology, Tampere University, Tampere 33520, Finland.
Julia VistbackaThe Immunopharmacology Research Group, Faculty of Medicine and Health Technology, Tampere University and Tampere University Hospital, Tampere 33520, Finland.
Eeva MoilanenThe Immunopharmacology Research Group, Faculty of Medicine and Health Technology, Tampere University and Tampere University Hospital, Tampere 33520, Finland.
Kati JärveläFaculty of Medicine and Health Technology, Tampere University, Tampere 33520, Finland.
Ari MennanderFaculty of Medicine and Health Technology, Tampere University, Tampere 33520, Finland.ORCID 0000-0001-5082-4161

Funding

Competitive State Research Financing of the Expert Responsibility Area of Tampere University Hospital, Tampere Tuberculosis FoundationFinnish Cultural Foundation, and Sohlberg Foundation
6 · The paper itself

Abstract

objectivesCardiac surgery via full sternotomy impacts postoperative lung function. We studied whether ultrasound-guided superficial parasternal intercostal plane block (SPIP) before surgical aortic valve replacement via full sternotomy would ameliorate postoperative lung function and filtration capacity.

methodsA total of 74 consecutive patients undergoing surgical aortic valve replacement were randomized to receive either or not additional SPIP. Pre- and postoperative lung function tests were compared among the patients. Venous and arterial blood samples were collected to calculate lung filtration (venous/arterial) of the inflammatory factors chemerin, chitinase-3-like protein 1 (YKL-40), resistin, and interleukin-6 (IL6) immediately before (T1), 1 hour after releasing aortic cross-clamp (T2), and on the following morning (T3) after surgery in 30 age- and sex-adjusted patients.

resultsPatients with SPIP were older as compared to those without (66.7 [10.7] vs 60.2 [13.4], years, respectively, P < 0.04). Neither other patient characteristics nor preoperative lung functions differed between the patient groups. Forced expiratory volume in 1 second (FEV), forced volume capacity (FVC), and relative FVC changes decreased less in patients treated with wound analgesia as compared to those without (P = 0.024, P = 0.042, and P = 0.042). Total oxycodone consumption (P = 0.634), YKL-40, and resistin did not differ between the groups. Arterial chemerin decreased and venous/arterial IL6 ratio increased in patients with SPIP as compared to those without (P = 0.024 versus P = 0.332, respectfully).

conclusionsSPIP before aortic valve surgery via full sternotomy impacts postoperative respiratory function and venous/arterial IL6 ratio. CLINICAL REGISTRATION NUMBER: The study was approved by the institutional review board (Ethical Committee of the Tampere University Hospital, Tampere, Finland, registration number R18011M) on March 8, 2018, and the study conforms to the ethical guidelines of the Declaration of Helsinki. The trial was registered as ClinicalTrials.gov ID NCT03704753 (EudraCT = 2017-004744-38).

Indexed as

Aortic ValveHeart Valve Prosthesis ImplantationNerve BlockSternotomyAgedFemaleHumansMaleMiddle AgedUltrasonography, Interventionalaortic valve replacementinterleukin-6lung functionSPIP

Identifiers

PMID40627369
PMCPMC12282944

What OpenQuestion holds

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LicenceCC BY
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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.