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Ciftci B, Omur B, Alver S, Akin AN, Yildiz Y, Tulgar S. The Medipol Combination: Novel Rectointercostal Fascial Plane Block and Pectointercostal Fascial Plane Block for Postoperative Analgesia Management After Cardiac Surgery: A Report of 15 Cases. A A Pract 2024; 18:e01794. [PMID: 38836555 DOI: 10.1213/xaa.0000000000001794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2024]
Abstract
The parasternal blocks cannot cover the T7 and lower anterior and lateral branches of the thoracoabdominal nerves. In the open heart surgeries, chest drainage tubes are generally outside the target of the parasternal blocks. Recently, Tulgar et al described a novel interfascial plane block technique named "recto-intercostal fascial plane block" (RIFPB). RIFPB is performed between the rectus abdominis muscle and the sixth to seventh costal cartilages. RIFPB targets the anterior and lateral cutaneous branches of the T6-T9 thoracoabdominal nerves. In this clinical report, we want to share our experiences about pectointercostal plane block and RIFPB combination (Medipol Combination) after cardiac surgery.
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Affiliation(s)
- Bahadir Ciftci
- From the Department of Anesthesiology and Reanimation, Istanbul Medipol University, Istanbul, Turkey
- Department of Anatomy, Istanbul Medipol University, Istanbul, Turkey
| | - Burak Omur
- From the Department of Anesthesiology and Reanimation, Istanbul Medipol University, Istanbul, Turkey
| | - Selcuk Alver
- From the Department of Anesthesiology and Reanimation, Istanbul Medipol University, Istanbul, Turkey
| | - Ayse Nurmen Akin
- From the Department of Anesthesiology and Reanimation, Istanbul Medipol University, Istanbul, Turkey
| | - Yahya Yildiz
- From the Department of Anesthesiology and Reanimation, Istanbul Medipol University, Istanbul, Turkey
| | - Serkan Tulgar
- Department of Anesthesiology and Reanimation, Samsun University Faculty of Medicine, Samsun Training and Research Hospital, Samsun, Turkey
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Singh K, Tsang S, Zvara J, Roach J, Walters S, McNeil J, Jossart S, Abdel-Malek A, Yount K, Mazzeffi M. Intraoperative Methadone Use Is Associated With Reduced Postoperative Pain and More Rapid Opioid Weaning After Coronary Artery Bypass Grafting. J Cardiothorac Vasc Anesth 2024:S1053-0770(24)00322-7. [PMID: 38876810 DOI: 10.1053/j.jvca.2024.05.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2024] [Revised: 05/07/2024] [Accepted: 05/11/2024] [Indexed: 06/16/2024]
Abstract
OBJECTIVE To explore the association between intraoperative methadone use, postoperative pain, and opioid consumption after coronary artery bypass grafting (CABG) surgery. DESIGN Retrospective cohort study. SETTING Single academic medical center. PARTICIPANTS Patients undergoing isolated CABG over a 5-year period. INTERVENTIONS None. MEASUREMENTS AND MAIN RESULTS Demographic data, comorbidities, and intraoperative anesthetic medications were recorded. Primary study outcomes were average and maximum pain scores and morphine milligram equivalent consumption on the first 2 postoperative days (PODs). Linear mixed-effects regression models were used to examine the effect of intraoperative methadone use on study outcomes. Among 1,338 patients, 78.6% received intraoperative methadone (0.2 mg/kg). Patients who did not receive methadone had higher average (estimated [Est], 0.48; 95% confidence interval [CI], 0.22-0.73; p < 0.001) and maximum postoperative (Est, 0.49; 95% CI, 0.23-0.75; p < 0.001) pain scores over PODs 0 to 2. For postoperative opioid consumption, there was a significant intraoperative methadone use-time interaction effect on postoperative opioid use (odds ratio [OR], 2.21; 95% CI, 1.74-2.80; p < 0.001). Across PODs 0 to 2, patients who received intraoperative methadone had a faster decline in postoperative opioid use than those who did not receive intraoperative methadone. Patients who did not receive intraoperative methadone were extubated slightly faster (OR, 0.82; 95% CI, 0.72-0.93; p < 0.01). CONCLUSIONS Our data suggest that the use of intraoperative methadone is safe, reduces postoperative pain, and expedites weaning from postoperative opioids after CABG surgery.
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Affiliation(s)
- Karen Singh
- Department of Anesthesiology, University of Virginia School of Medicine, Charlottesville, VA
| | - Siny Tsang
- Department of Anesthesiology, University of Virginia School of Medicine, Charlottesville, VA
| | - Jessica Zvara
- Department of Anesthesiology, University of Virginia School of Medicine, Charlottesville, VA
| | - Joshua Roach
- Department of Anesthesiology, University of Virginia School of Medicine, Charlottesville, VA
| | - Susan Walters
- Department of Anesthesiology, University of Virginia School of Medicine, Charlottesville, VA
| | - John McNeil
- Department of Anesthesiology, University of Virginia School of Medicine, Charlottesville, VA
| | - Scott Jossart
- Department of Anesthesiology, University of Virginia School of Medicine, Charlottesville, VA
| | - Amir Abdel-Malek
- Department of Anesthesiology, University of Virginia School of Medicine, Charlottesville, VA
| | - Kenan Yount
- Department of Cardiothoracic Surgery, University of Virginia School of Medicine, Charlottesville, VA
| | - Michael Mazzeffi
- Department of Anesthesiology, University of Virginia School of Medicine, Charlottesville, VA.
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Dost B, Turunc E, Ozdemir E. Subxiphoid Pericardial Window Using a Combination of Rectointercostal Fascial Plane Block and Superficial Parasternal Intercostal Plane Block. J Cardiothorac Vasc Anesth 2024; 38:1282-1283. [PMID: 38453556 DOI: 10.1053/j.jvca.2024.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2024] [Revised: 01/29/2024] [Accepted: 02/01/2024] [Indexed: 03/09/2024]
Affiliation(s)
- Burhan Dost
- Department of Anesthesiology and Reanimation, Ondokuz Mayis University Faculty of Medicine, Samsun, Turkey
| | - Esra Turunc
- Department of Anesthesiology and Reanimation, Ondokuz Mayis University Faculty of Medicine, Samsun, Turkey.
| | - Emine Ozdemir
- Department of Anesthesiology and Reanimation, Ondokuz Mayis University Faculty of Medicine, Samsun, Turkey
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Zhong W, Zhao B, Liu L, Xi G, Zhou J. A commentary on 'Transversus thoracic muscle plane block for pain during cardiac surgery: a systematic review and meta-analysis'. Int J Surg 2024; 110:3103-3104. [PMID: 38348855 DOI: 10.1097/js9.0000000000001170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2024] [Accepted: 01/28/2024] [Indexed: 05/16/2024]
Affiliation(s)
- Wei Zhong
- Department of Anesthesia, Henan Provincial Chest Hospital (Chest Hospital of Zhengzhou University), Zhengzhou, Henan, People's Republic of China
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Capuano P, Sepolvere G, Toscano A, Scimia P, Silvetti S, Tedesco M, Gentili L, Martucci G, Burgio G. Fascial plane blocks for cardiothoracic surgery: a narrative review. JOURNAL OF ANESTHESIA, ANALGESIA AND CRITICAL CARE 2024; 4:20. [PMID: 38468350 PMCID: PMC10926596 DOI: 10.1186/s44158-024-00155-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/20/2023] [Accepted: 02/23/2024] [Indexed: 03/13/2024]
Abstract
In recent years, there has been a growing awareness of the limitations and risks associated with the overreliance on opioids in various surgical procedures, including cardiothoracic surgery.This shift on pain management toward reducing reliance on opioids, together with need to improve patient outcomes, alleviate suffering, gain early mobilization after surgery, reduce hospital stay, and improve patient satisfaction and functional recovery, has led to the development and widespread implementation of enhanced recovery after surgery (ERAS) protocols.In this context, fascial plane blocks are emerging as part of a multimodal analgesic in cardiac surgery and as alternatives to conventional neuraxial blocks for thoracic surgery, and there is a growing body of evidence suggesting their effectiveness and safety in providing pain relief for these procedures. In this review, we discuss the most common fascial plane block techniques used in the field of cardiothoracic surgery, offering a comprehensive overview of regional anesthesia techniques and presenting the latest evidence on the use of chest wall plane blocks specifically in this surgical setting.
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Affiliation(s)
- Paolo Capuano
- Department of Anesthesia and Intensive Care, Istituto Mediterraneo per i Trapianti e Terapie ad alta Specializzazione (IRCCS-ISMETT), UPMCI (University of Pittsburgh Medical Center Italy), Palermo, Italy.
| | - Giuseppe Sepolvere
- Department of Anesthesia and Cardiac Surgery Intensive Care Unit, Casa Di Cura San Michele, Maddaloni, Caserta, Italy
| | - Antonio Toscano
- Department of Anesthesia, Critical Care and Emergency, "Città Della Salute E Della Scienza" Hospital, Turin, Italy
| | - Paolo Scimia
- Intensive Care Unit, Department of Anesthesia, G. Mazzini Hospital, Teramo, Italy
| | - Simona Silvetti
- Department of Cardioanesthesia and Intensive Care, Policlinico San Martino IRCCS Hospital - IRCCS Cardiovascular Network, Genoa, Italy
| | - Mario Tedesco
- Department of Anesthesia and Intensive Care Unit and Pain Therapy, Mater Dei Hospital, Bari, Italy
| | - Luca Gentili
- Intensive Care Unit, Department of Anesthesia, S. Maria Goretti Hospital, Latina, Italy
| | - Gennaro Martucci
- Department of Anesthesia and Intensive Care, Istituto Mediterraneo per i Trapianti e Terapie ad alta Specializzazione (IRCCS-ISMETT), UPMCI (University of Pittsburgh Medical Center Italy), Palermo, Italy
| | - Gaetano Burgio
- Department of Anesthesia and Intensive Care, Istituto Mediterraneo per i Trapianti e Terapie ad alta Specializzazione (IRCCS-ISMETT), UPMCI (University of Pittsburgh Medical Center Italy), Palermo, Italy
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Elbardan IM, Abdelkarime EM, Elhoshy HS, Mohamed AH, ElHefny DA, Bedewy AA. Comparison of Erector Spinae Plane Block and Pectointercostal Facial Plane Block for Enhanced Recovery After Sternotomy in Adult Cardiac Surgery. J Cardiothorac Vasc Anesth 2024; 38:691-700. [PMID: 38151456 DOI: 10.1053/j.jvca.2023.12.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2023] [Revised: 12/01/2023] [Accepted: 12/05/2023] [Indexed: 12/29/2023]
Abstract
OBJECTIVES This study aimed to investigate and compare the effects of the pectointercostal fascial plane block (PIFPB) and the erector spinae plane block (ESPB) on enhancing the recovery of patients who undergo cardiac surgery. DESIGN A randomized, controlled, double-blinded study. SETTING The operating rooms and intensive care units of university hospitals. PARTICIPANTS One hundred patients who were American Society of Anesthesiologists class II to III aged 18-to-70 years scheduled for elective cardiac surgery. INTERVENTIONS Patients were randomly assigned to undergo either ultrasound-guided bilateral PIFPB or ESPB. MEASUREMENTS AND MAIN RESULTS Patients shared comparable baseline characteristics. Time to extubation, the primary outcome, did not demonstrate a statistically significant difference between the groups, with median (95% confidence interval) values of 115 (90-120) minutes and 110 (100-120) minutes, respectively (p = 0.875). The ESPB group had a statistically significant reduced pain score postoperatively. The median (IQR) values of postoperative fentanyl consumption were statistically significantly lower in the ESPB group than in the PIFPB group (p < 0.001): 4 (4-5) versus 9 (9-11) µg/kg, respectively. In the ESPB group, the first analgesia request was given 4 hours later than in the PIFPB group (p < 0.001). Additionally, 12 (24%) patients in the PIFPB group reported nonsternal wound chest pain, compared with none in the ESPB group. The median intensive care unit length of stay for both groups was 3 days (p = 0.428). CONCLUSIONS Erector spinae plane block and PIFPB were found to equally affect recovery after cardiac surgery, with comparable extubation times and intensive care unit length of stay.
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Affiliation(s)
- Islam Mohamed Elbardan
- Department of Anesthesia and Surgical Intensive Care, Alexandria Faculty of Medicine, Alexandria, Egypt.
| | | | - Hassan Saeed Elhoshy
- Department of Anesthesia and Surgical Intensive Care, Alexandria Faculty of Medicine, Alexandria, Egypt
| | - Amr Hashem Mohamed
- Department of Anesthesia and Surgical Intensive Care, Alexandria Faculty of Medicine, Alexandria, Egypt
| | - Dalia Ahmed ElHefny
- Department of Anesthesia and Surgical Intensive Care, Kafrelsheikh University, Kafr El-Sheikh, Egypt
| | - Ahmed Abd Bedewy
- Department of Anesthesia and Surgical Intensive Care, Helwan University, Helwan, Egypt
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Wong HMK, Chen PY, Tang GCC, Chiu SLC, Mok LYH, Au SSW, Wong RHL. Deep Parasternal Intercostal Plane Block for Intraoperative Pain Control in Cardiac Surgical Patients for Sternotomy: A Prospective Randomized Controlled Trial. J Cardiothorac Vasc Anesth 2024; 38:683-690. [PMID: 38148266 DOI: 10.1053/j.jvca.2023.11.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/18/2023] [Revised: 11/13/2023] [Accepted: 11/26/2023] [Indexed: 12/28/2023]
Abstract
OBJECTIVES Sternotomy pain is common after cardiac surgery. The deep parasternal intercostal plane (DPIP) block is a novel technique that provides analgesia to the anterior chest wall. The aim of this study was to investigate the analgesic effect of bilateral DPIP blocks on intraoperative pain control in cardiac surgery. DESIGN This is a double-blinded, prospective randomized controlled trial (Oct 2020-Dec 2022). SETTINGS This study was conducted in a single institution, which is an academic university hospital. PARTICIPANTS Eighty-six elective cardiac surgical patients with median sternotomy were recruited. INTERVENTIONS Patients were randomly divided into DPIP or control group. Either 20ml 0.25% levobupivacaine or 0.9% normal saline was injected for the DPIP under ultrasound guidance after induction of general anaesthesia. MEASUREMENTS AND MAIN RESULTS The primary outcome was intraoperative opioids consumption and hemodynamic changes at sternotomy. Secondary outcomes included postoperative morphine consumption, postoperative pain and time to tracheal extubation. Intraoperative opioids requirement was reduced from a median (IQR) intravenous morphine equivalence of 21.4mg (13.8-24.3mg) in control group to 9.5mg (7.3-11.2mg) in the DPIP group (P<0.001). Hemodynamic parameters were more stable in DPIP group at sternotomy, as evidenced by lower percentage increase in systolic, diastolic and mean arterial blood pressure from baseline. No difference was observed in time to tracheal extubation, postoperative morphine consumption, postoperative pain score and spirometry. CONCLUSIONS Bilateral DPIP block provides effective intraoperative analgesia and opioid-sparing. It may be included as part of the multimodal analgesia for enhanced recovery in cardiac surgery.
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Affiliation(s)
- Henry M K Wong
- Department of Anesthesia and Intensive Care, Prince of Wales Hospital, New Territories, Hong Kong, China.
| | - P Y Chen
- Department of Anesthesia and Intensive Care, Prince of Wales Hospital, New Territories, Hong Kong, China
| | - Geoffrey C C Tang
- Department of Anesthesia and Intensive Care, Prince of Wales Hospital, New Territories, Hong Kong, China
| | - Sandra L C Chiu
- Department of Anesthesia and Intensive Care, the Chinese University of Hong Kong, Hong Kong, China
| | - Louis Y H Mok
- Department of Anesthesia and Intensive Care, Prince of Wales Hospital, New Territories, Hong Kong, China
| | - Sylvia S W Au
- Department of Anesthesia and Intensive Care, Prince of Wales Hospital, New Territories, Hong Kong, China
| | - Randolph H L Wong
- Division of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, New Territories, Hong Kong, China
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Dost B, Turunc E, Sarikaya Ozel E, Aydın ME, Karapinar YE, Beldagli M, De Cassai A. Myocardial Protection in Cardiac Surgery: Exploring the Influence of Anesthetic Agents. Eurasian J Med 2023; 55:138-141. [PMID: 38752865 PMCID: PMC11075016 DOI: 10.5152/eurasianjmed.2023.23376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2023] [Accepted: 12/26/2023] [Indexed: 05/19/2024] Open
Abstract
This review assesses the efficacy of inhalation anesthetics and propofol in cardiac surgery, primarily focusing on their impact on myocardial protection and subsequent clinical outcomes. The review provides a concise summary of the current scientific information regarding the protective efects of inhalation anesthetics and propofol, particularly in the context of ischemia-reperfusion injury during cardiac surgery. The review delves into the mechanisms of action and discusses clinical studies comparing the 2 anesthetic strategies regarding mortality, complication rates, and length of hospital stay. Inhalation anesthetics exhibit cardioprotective properties through many mechanisms, such as preconditioning, scavenging of free radicals, and stabilizing mitochondria. Propofol demonstrates certain protective benefits but does not possess the preconditioning capability of inhalation medications. Clinical investigations yield contradictory findings, as several studies indicate enhanced outcomes with inhalation anesthetics, while others observe no substantial disparity between the 2 approaches. The cardioprotective efcacy of propofol against ischemia-reperfusion injury remains limited. While its inherent antioxidant properties ofer direct myocardial protection, propofol demonstrably lacks the preconditioning-mediated signaling pathways triggered by inhalation anesthetics. As a result, propofol's protective efect may be slightly inferior to preconditioning strategies, and its potential to inhibit organ-protective impact of other interventions needs further investigation. The question of which anesthetic approach ofers superior myocardial protection remains debatable. Current evidence is inconclusive, potentially due to patient heterogeneity, surgical complexity, and methodological limitations of existing studies. Future research, including pharmacogenetic studies and large, welldesigned, randomized controlled trials, are necessary to provide definitive guidance on anesthetic selection for optimal myocardial protection in cardiac surgery.
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Affiliation(s)
- Burhan Dost
- Department of Anaesthesiology and Reanimation, Ondokuz Mayıs University Faculty of Medicine, Samsun, Türkiye
| | - Esra Turunc
- Department of Anaesthesiology and Reanimation, Ondokuz Mayıs University Faculty of Medicine, Samsun, Türkiye
| | - Elif Sarikaya Ozel
- Department of Anaesthesiology and Reanimation, Ondokuz Mayıs University Faculty of Medicine, Samsun, Türkiye
| | - Muhammed Enes Aydın
- Department of Anesthesiology and Reanimation, Atatürk University Faculty of Medicine, Erzurum, Türkiye
| | - Yunus Emre Karapinar
- Department of Anesthesiology and Reanimation, Atatürk University Faculty of Medicine, Erzurum, Türkiye
| | - Muzeyyen Beldagli
- Department of Anesthesiology and Reanimation, Samsun Training and Research Hospital Faculty of Medicine, Samsun, Türkiye
| | - Alessandro De Cassai
- UOC Anesthesia and Intensive Care Unit “Sant’Antonio”, University Hospital of Padua, Padua, Italy
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Toscano A, Capuano P, Perrucci C, Giunta M, Orsello A, Pierani T, Costamagna A, Tedesco M, Arcadipane A, Sepolvere G, Buono G, Brazzi L. Which ultrasound-guided parasternal intercostal nerve block for post-sternotomy pain? Results from a prospective observational study. JOURNAL OF ANESTHESIA, ANALGESIA AND CRITICAL CARE 2023; 3:48. [PMID: 37974241 PMCID: PMC10652511 DOI: 10.1186/s44158-023-00134-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Accepted: 11/08/2023] [Indexed: 11/19/2023]
Abstract
BACKGROUND Parasternal intercostal blocks (PSB) have been proposed for postoperative analgesia in patients undergoing median sternotomy. PSB can be achieved using two different approaches, the superficial parasternal intercostal plane block (SPIP) and deep parasternal intercostal plane block (DPIP) respectively. METHODS We designed the present prospective, observational cohort study to compare the analgesic efficacy of the two approaches. Cardiac surgical patients who underwent full sternotomy from January to September 2022 were enrolled and divided into three groups, according to pain control strategy: morphine, SPIP, and DPIP group. Primary outcomes were was postoperative pain evaluated as absolute value of NRS at 12 h. Secondary outcomes were the NRS at 24 and 48 h, the need for salvage analgesia (both opioids and NSAIDs), incidence of postoperative nausea and vomiting, time to extubation, mechanical ventilation duration, and bowel disfunction. RESULTS Ninety-six were enrolled. There was no significant difference in terms of median Numeric Pain Rating Scale at 24 h and at 48 h between the study groups. Total postoperative morphine consumption was 1.00 (0.00-3.00), 2.00 (0.00-5.50), and 15.60 mg (9.60-30.00) in the SPIP, DPIP, and morphine group, respectively (SPIP and DPIP vs morphine: p < 0.001). Metoclopramide consumption was lower in SPIP and DPIP group compared with morphine group (p = 0.01). There was no difference in terms of duration of mechanical ventilation and of bowel activity between the study groups. Two pneumothorax occurred in the DPIP group. CONCLUSIONS Both SPIP and DPIP seem able to guarantee an effective pain management in the postoperative phase of cardiac surgeries via full median sternotomy while ensuring a reduced consumption of opioids and antiemetic drugs.
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Affiliation(s)
- Antonio Toscano
- Department of Anesthesia, Critical Care and Emergency, 'Città della Salute e della Scienza' Hospital, Turin, Italy
| | - Paolo Capuano
- Department of Anesthesia and Intensive Care, IRCCS-ISMETT, UPMC, 90127, Palermo, Italy.
| | - Chiara Perrucci
- Division of Cardiovascular Anesthesia and Intensive Care, Azienda Ospedaliera Ordine Mauriziano, Turin, Italy
| | - Matteo Giunta
- Department of Anesthesia, Critical Care and Emergency, 'Città della Salute e della Scienza' Hospital, Turin, Italy
| | - Alberto Orsello
- Department of Anesthesia, Critical Care and Emergency, 'Città della Salute e della Scienza' Hospital, Turin, Italy
| | - Tommaso Pierani
- Department of Anesthesia, Critical Care and Emergency, 'Città della Salute e della Scienza' Hospital, Turin, Italy
| | - Andrea Costamagna
- Department of Anesthesia, Critical Care and Emergency, 'Città della Salute e della Scienza' Hospital, Turin, Italy
| | - Mario Tedesco
- Department of Anesthesia and Intensive Care Unit and Pain Therapy, Mater Dei Hospital, Bari, Italy
| | - Antonio Arcadipane
- Department of Anesthesia and Intensive Care, IRCCS-ISMETT, UPMC, 90127, Palermo, Italy
| | - Giuseppe Sepolvere
- Department of Anesthesia and Cardiac Surgery Intensive Care Unit, Casa di Cura San Michele, Maddaloni, Caserta, Italy
| | - Gabriella Buono
- Division of Cardiovascular Anesthesia and Intensive Care, Azienda Ospedaliera Ordine Mauriziano, Turin, Italy
| | - Luca Brazzi
- Department of Anesthesia, Critical Care and Emergency, 'Città della Salute e della Scienza' Hospital, Turin, Italy
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Bailey JG, Uppal V. The erector spinae plane block: silver bullet or over-hyped? Can J Anaesth 2023:10.1007/s12630-023-02636-7. [PMID: 37957437 DOI: 10.1007/s12630-023-02636-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Revised: 08/31/2023] [Accepted: 09/10/2023] [Indexed: 11/15/2023] Open
Affiliation(s)
- Jonathan G Bailey
- Nova Scotia Health Authority, Halifax, NS, Canada.
- Department of Anesthesia, Perioperative Medicine and Pain Management, Dalhousie University, 5th Floor Halifax Infirmary Site, Rm 5452, 1796 Summer Street, Halifax, NS, B3H 3A7, Canada.
| | - Vishal Uppal
- Department of Anesthesia, Perioperative Medicine and Pain Management, Dalhousie University, Halifax, NS, Canada
- Nova Scotia Health Authority, Halifax, NS, Canada
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Yayık AM, Çelik EC, Aydın ME, Oral Ahıskalıoğlu E, Dost B, Altıparmak B, Narayanan M, Cassai AD, Tulgar S, Ahıskalıoğlu A. The Shining Star of the Last Decade in Regional Anesthesia Part-II: Interfascial Plane Blocks for Cardiac, Abdominal, and Spine Surgery. Eurasian J Med 2023; 55:9-20. [PMID: 37916997 DOI: 10.5152/eurasianjmed.2023.23015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2023] Open
Abstract
The sine qua non of enhanced recovery after surgery protocols designed to improve the perioperative experiences and outcomes of patients is to determine the most appropriate analgesia management. Although many regional techniques have been tried over the years in this purpose, interfacial plane blocks have become more popular with the introduction of ultrasound technology into daily practice and they have great potential to support effective postoperative pain management in many surgeries. The current article focuses on the benefits, techniques, indications, and complications of interfascial plane blocks applied in cardiac, abdominal, and spine surgeries.
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Affiliation(s)
- Ahmet Murat Yayık
- Department of Anesthesiology and Reanimation, Atatürk University Faculty of Medicine, Erzurum, Turkey; Clinical Research, Development and Design Application and Research Center, Atatürk University Faculty of Medicine, Erzurum, Turkey
| | - Erkan Cem Çelik
- Department of Anaesthesiology and Reanimation, Atatürk University School of Medicine, Erzurum, Turkey; Clinical Research, Development and Design Application and Research Center, Atatürk University School of Medicine, Erzurum, Turkey
| | - Muhammed Enes Aydın
- Department of Anaesthesiology and Reanimation, Atatürk University School of Medicine, Erzurum, Turkey; Clinical Research, Development and Design Application and Research Center, Atatürk University School of Medicine, Erzurum, Turkey
| | - Elif Oral Ahıskalıoğlu
- Department of Anaesthesiology and Reanimation, Atatürk University School of Medicine, Erzurum, Turkey; Clinical Research, Development and Design Application and Research Center, Atatürk University School of Medicine, Erzurum, Turkey
| | - Burhan Dost
- Department of Anaesthesiology and Reanimation, On Dokuz Mayıs University School of Medicine, Istanbul, Turkey
| | - Başak Altıparmak
- Department of Anaesthesiology and Reanimation, Sıtkı Koçman University School of Medicine, Mugla, Turkey
| | - Madan Narayanan
- Department of Anaesthesia, Frimley Health NHS Foundation Trust, Frimley, UK
| | - Alessandro De Cassai
- Department of Anesthesia and Intensive Care, Padua University Hospital, Padua, Italy
| | - Serkan Tulgar
- Department of Anesthesiology and Reanimation, Samsun University Faculty of Medicine, Samsun, Turkey
| | - Ali Ahıskalıoğlu
- Department of Anaesthesiology and Reanimation, Atatürk University School of Medicine, Erzurum, Turkey; Clinical Research, Development and Design Application and Research Center, Atatürk University School of Medicine, Erzurum, Turkey
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