Awake cardiac surgery using the novel pectoralis-intercostal-rectus sheath (PIRS) plane block and subxiphoid approach.
PIRS
awake cardiac surgery
deep sternal wound infection
parasternal block
pectointercostal fascial plane block
pectoralis-intercostal rectus sheath block
rectus sheath block
Journal
Journal of cardiac surgery
ISSN: 1540-8191
Titre abrégé: J Card Surg
Pays: United States
ID NLM: 8908809
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
received:
13
05
2022
accepted:
21
05
2022
pubmed:
7
6
2022
medline:
4
8
2022
entrez:
6
6
2022
Statut:
ppublish
Résumé
Postoperative pain after cardiac surgery is a very important issue and affects recovery, risk of postoperative complications and quality of life. The pain management has been traditionally based on intravenous opioids with growing evidence suggesting the use of opioid-free and opioid-sparing techniques to reduce its adverse effects. We report the case of a 75-year-old frail patient underwent awake mediastinal revision with subxiphoid access due to deep sternal wound infection using a pectoralis-intercostal rectus sheath (PIRS) plane block. During the procedure the patient never reported pain receiving acetaminophen 1 g every 8 h for postoperative pain management without others pain relievers. Ultrasound guided PIRS block could be an effective and safe analgesic technique to manage sternal and subxiphoid drainage pain in patients undergoing cardiac surgery via subxiphoid approach.
Sections du résumé
BACKGROUND
BACKGROUND
Postoperative pain after cardiac surgery is a very important issue and affects recovery, risk of postoperative complications and quality of life. The pain management has been traditionally based on intravenous opioids with growing evidence suggesting the use of opioid-free and opioid-sparing techniques to reduce its adverse effects.
CASE PRESENTATION
METHODS
We report the case of a 75-year-old frail patient underwent awake mediastinal revision with subxiphoid access due to deep sternal wound infection using a pectoralis-intercostal rectus sheath (PIRS) plane block. During the procedure the patient never reported pain receiving acetaminophen 1 g every 8 h for postoperative pain management without others pain relievers.
CONCLUSION
CONCLUSIONS
Ultrasound guided PIRS block could be an effective and safe analgesic technique to manage sternal and subxiphoid drainage pain in patients undergoing cardiac surgery via subxiphoid approach.
Substances chimiques
Analgesics, Opioid
0
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
2923-2926Informations de copyright
© 2022 Wiley Periodicals LLC.
Références
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