Trial reportBMC anesthesiology2025
Analgesic efficacy of ultrasound guided erector spinae plane block versus serratus anterior plane block in pediatric patients undergoing aortic coarctectomy; a randomized controlled study.
Trial report in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06567275 (Analgesic Effect of Ultrasound Guided Erector Spinae Plane Block Versus Serratus Anterior Plane Block in Pediatric Patients Undergoing Aortic Coarctectomy , a Randomized Controlled Study .), which is not on this map. Not yet cited in PubMed.
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The trial behind it
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Analgesic Effect of Ultrasound Guided Erector Spinae Plane Block Versus Serratus Anterior Plane Block in Pediatric Patients Undergoing Aortic Coarctectomy , a Randomized Controlled Study .
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAortic coarctectomy (AC) is associated with marked intraoperative hemodynamic alterations and significant post-thoracotomy pain. In this study, the analgesic effects of erector spinae plane block (ESPB) and serratus anterior plane block (SAPB) were compared.
methods28 pediatric patients were randomized into the ESPB group (received unilateral ESPB using a volume of 0.4 ml/kg of bupivacaine 0.25% and lidocaine 1% on the same side of the planned thoracotomy) and the SAPB group (received unilateral block by injecting the same local anesthetic volume and mixture at the level of the 5th rib). Both blocks were given after anesthetic induction. The primary endpoint was total intraoperative fentanyl dose, while postoperative pain scores and the first 24 h morphine dose were secondary endpoints.
resultsIntraoperative fentanyl consumption (mcg/kg) didn't show a significant difference between the ESPB group (1.21 ± 0.43) and the SAPB group (1.36 ± 0.5), mean difference = 0.14, 95% CI (-0.21 to 0.50), p value = 0.421. Pain scores and first 24 h. morphine dose after surgery were comparable between both groups, p > 0.05.
conclusionBoth SAPB and ESPB provided comparable perioperative analgesia in pediatric AC, which was reflected by comparable intraoperative fentanyl dose, postoperative pain scores, and postoperative morphine dosage.
trial registrationNCT06567275, trial registration date: (22-08-2024).
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