Ultrasound Guided Parasternal Block for Perioperative Analgesia in Cardiac Surgery: A Prospective Study.
cardiac anaesthesia
cardiac surgery
pain management
parasternal block
regional anaesthesia
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
06 Mar 2023
06 Mar 2023
Historique:
received:
02
01
2023
revised:
03
02
2023
accepted:
02
03
2023
entrez:
11
3
2023
pubmed:
12
3
2023
medline:
12
3
2023
Statut:
epublish
Résumé
Ultrasound guided parasternal block is a regional anaesthesia technique targeting the anterior branches of intercostal nerves, which supply the anterior thoracic wall. The aim of this prospective study is to assess the efficacy of parasternal block to manage postoperative analgesia and reduce opioid consumption in patients undergoing cardiac surgery throughout sternotomy. A total of 126 consecutive patients were allocated to two different groups, receiving (Parasternal group) or not (Control group) preoperative ultrasound guided bilateral parasternal block with 20 mL of 0.5% ropivacaine per side. The following data were recorded: postoperative pain expressed by a 0-10 numeric rating scale (NRS), intraoperative fentanyl consumption, postoperative morphine consumption, time to extubation and perioperative pulmonary performance at incentive spirometry. Postoperative NRS was not significantly different between Parasternal and Control groups with a median (IQR) of 2 (0-4.5) vs. 3 (0-6) upon awakening (
Identifiants
pubmed: 36902846
pii: jcm12052060
doi: 10.3390/jcm12052060
pmc: PMC10003888
pii:
doi:
Types de publication
Journal Article
Langues
eng
Références
Anesth Analg. 2020 Jul;131(1):127-135
pubmed: 32032103
Reg Anesth Pain Med. 2020 Apr;45(4):316-317
pubmed: 31964853
JAMA Surg. 2017 Jul 1;152(7):691-697
pubmed: 28564673
Reg Anesth Pain Med. 2019 May;44(5):556-560
pubmed: 30902911
JAMA Surg. 2019 Aug 1;154(8):755-766
pubmed: 31054241
J Cardiothorac Vasc Anesth. 2007 Aug;21(4):547-53
pubmed: 17678782
Reg Anesth Pain Med. 2017 Nov/Dec;42(6):764-766
pubmed: 29016551
J Cardiothorac Vasc Anesth. 2019 Feb;33(2):368-375
pubmed: 30055991
Best Pract Res Clin Anaesthesiol. 2019 Dec;33(4):387-406
pubmed: 31791558
J Cardiothorac Vasc Anesth. 2022 Nov;36(11):4173-4182
pubmed: 35995636
J Cardiothorac Vasc Anesth. 2017 Feb;31(1):152-158
pubmed: 27939192
Pain Res Manag. 2016;2016:4261949
pubmed: 27445610
Anesth Analg. 2005 Jan;100(1):25-32
pubmed: 15616047
Anaesthesia. 2020 Oct;75(10):1404-1405
pubmed: 32525233
Minerva Anestesiol. 2019 Aug;85(8):917-918
pubmed: 31339030
Semin Cardiothorac Vasc Anesth. 2016 Sep;20(3):205-12
pubmed: 25900900
J Card Surg. 2020 Jul;35(7):1525-1530
pubmed: 32579779
J Cardiothorac Vasc Anesth. 2021 Jul;35(7):2234-2236
pubmed: 33309498
J Cardiothorac Vasc Anesth. 2020 Aug;34(8):2284-2286
pubmed: 32360012
J Pain Res. 2018 Aug 24;11:1599-1611
pubmed: 30197534
Lancet. 2003 Dec 6;362(9399):1921-8
pubmed: 14667752
Ann Thorac Surg. 2019 Jan;107(1):128-134
pubmed: 30170012
Saudi J Anaesth. 2019 Jul-Sep;13(3):222-226
pubmed: 31333367
J Thorac Cardiovasc Surg. 2023 Feb;165(2):737-746.e3
pubmed: 33814177
Anaesthesia. 2011 Sep;66(9):847-8
pubmed: 21831090
Reg Anesth Pain Med. 2021 Aug;46(8):671-678
pubmed: 33990437
Br J Anaesth. 2016 Sep;117(3):382-6
pubmed: 27543533
Ann Card Anaesth. 2020 Apr-Jun;23(2):200-208
pubmed: 32275036
Anesth Analg. 2007 Jun;104(6):1380-96, table of contents
pubmed: 17513630
Anticancer Res. 2020 Apr;40(4):2231-2238
pubmed: 32234919