AUTHOR=Zhang Yang , Min Jia , Chen Shibiao 

TITLE=Perioperative Pain Management With Bilateral Pecto-intercostal Fascial Block in Pediatric Patients Undergoing Open Cardiac Surgery

JOURNAL=Frontiers in Cardiovascular Medicine

VOLUME=Volume 9 - 2022

YEAR=2022

URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2022.825945

DOI=10.3389/fcvm.2022.825945

ISSN=2297-055X

ABSTRACT=Purposes: Pediatric open cardiac surgical patients usually suffer from acute pain after operation. The current work aimed to explore the impact of bilateral PIFB in children suffering from open cardiac surgery.
Methods. This work randomized altogether 110 child patients as bilateral PIFB (PIF) and non-nerve block (SAL) groups. This work adopted postoperative pain at exercise and rest statuses as the primary endpoint, whereas time-to-drain removal/extubation/initial defecation, intraoperative/postoperative fentanyl use, and length of ICU and hospital stay as the secondary endpoints.
Results. MOPS were significantly higher at 24-h postoperatively at coughing and rest 
statuses in SAL group compared with PIF group.Meanwhile, PIF group exhibited 
markedly lower intraoperative/postoperative fentanyl use amounts, as well as 
markedly reduced time-to-extubation/initial flatus, and length of ICU/hospital stay.
Conclusion. Bilateral PIFB in pediatric open cardiac surgical patients provide effective analgesia and lower the length of hospital stay .