Comparison of Analgesic Efficacy of Intrathecal Morphine and Ultrasound-Guided Bilateral Erector Spinae Plane Block in Patients Undergoing Open Heart Surgery with Midline Sternotomy: An Open Label Randomized Control Trial

Key Points

• To compare the analgesic efficacy of intrathecal morphine and ultrasound-guided bilateral erector spinae plane block in patients undergoing open heart surgery.
• Conducted an open label randomized control trial.
• Administered intrathecal morphine prior to induction.
• Implemented bilateral erector spinae plane blocks as an alternative analgesic technique.
• Evaluated postoperative analgesia, opioid use, and patient satisfaction.
• Intrathecal morphine provided superior postoperative analgesia compared to bilateral ESPB.
• Significantly reduced opioid requirements were noted.
• Improved patient satisfaction was observed.
• Enhancements in postoperative pulmonary function were reported.