Transversus Thoracic Muscle Plane Block for Postoperative Pain in Pediatric Cardiac Surgery: A Systematic Review and Meta-Analysis of Randomized and Observational Studies

Article summarized by Dr. Jakob Wittenstein

Published: Journal of Cardiothoracic and Vascular Anesthesia on February 22, 2024

URL: https://www.jcvaonline.com/article/S1053-0770(24)00115-0/abstract

DOI: https://doi.org/10.1053/j.jvca.2024.02.016

Authors: Yi-yang Cui, Zi-qing Xu, Huai-jing Hou, Jie Zhang, Jian-Jun Xue

Article description

Summary:
  • Six studies with a total of 601 pediatric patients aged 2 months to 12 years were included.
  • Primary outcome: postoperative analgesic efficacy, measured by parameters such as opioid consumption and pain score.
  • Secondary outcomes: extubation time, length of stay in the pediatric intensive care unit, and adverse effects.
  • The authors found very low to low-certainty evidence that TTMPB may increase postoperative analgesic efficacy in pediatric cardiac surgery.
  • Further large-scale randomized controlled trials are needed to confirm these findings.

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