Current evidence of ultrasound guided fascial plane blocks for cardiac surgery: a narrative literature review

Hong, Boohwi; Oh, Chahyun; Jo, Yumin; Lee, Soomin; Park, Sung Yong; Kim, Chongam

doi:10.4097/kja.22564

Cited by 5 publications

(3 citation statements)

References 69 publications

(92 reference statements)

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“…As part of multimodal analgesia, ultrasound-guided local anaesthesia has been found to decrease opioid usage, length of hospital stay and patient discomfort. [ 27 ]…”

Section: Types Of Micsmentioning

confidence: 99%

Recent advances in cardiac anaesthesia

Sundar

Ramachandran

Venugopal

et al. 2023

Indian Journal of Anaesthesia

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The speciality of cardiac anaesthesia has rapidly evolved over the past few decades with advances in technology, including artificial intelligence (AI), newer devices, techniques, imaging, pain relief and a better understanding of the pathophysiology of disease states. Incorporation of the same has led to improved patient outcomes in terms of morbidity and mortality benefits. With the advent of minimally invasive surgical methods, minimising the dose of opioids and ultrasound-guided regional anaesthesia for pain relief, enhanced recovery after cardiac surgery has been made possible. Perioperative imaging including 3D transoesophageal echocardiography, newer devices and drugs and AI algorithms will play a significant role in cardiac anaesthesia. This review briefly addresses some of the recent advances that the authors believe can impact the practice of cardiac anaesthesia.

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“…As part of multimodal analgesia, ultrasound-guided local anaesthesia has been found to decrease opioid usage, length of hospital stay and patient discomfort. [ 27 ]…”

Section: Types Of Micsmentioning

confidence: 99%

Recent advances in cardiac anaesthesia

Sundar

Ramachandran

Venugopal

et al. 2023

Indian Journal of Anaesthesia

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“…Multimodal analgesia is a strategy aiming to reduce the perioperative need for opioids. With the advancements in ultrasonography, the use of sensory blocks has become an integral part of multimodal analgesia [3,4].…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-guided lateral versus posterior quadratus lumborum block for postoperative analgesia in robot-assisted partial nephrectomy: a retrospective study

Xi,

Hu,

Sui

et al. 2024

Preprint

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Objective To compare the postoperative 24-hour opioid consumption and pain relief between unilateral single-shot lateral and posterior quadratus lumborum block (QLB) in robot-assisted partial nephrectomy (RAPN). Design: A retrospective cohort study. Setting: A tertiary hospital. Interventions: Quadratus lumborum block. RAPN was performed under general anesthesia plus lateral QLB (n = 219) or posterior QLB (n = 201) for analgesia. Primary and secondary outcome measures: The primary outcome was postoperative cumulative sufentanil consumption at 24 and 48 hours. The secondary outcomes were visual analog scale (VAS) scores, time to first rescue analgesia, and intraoperative sufentanil consumption. Adverse effects and complications were also assessed. Results The postoperative 24-hour cumulative sufentanil consumption was significantly lower in the posterior QLB group 54.315[50.306–58.140](54.8 [51.7–59.5]) compared to the lateral QLB group (56.9 [49.1–65.8]) 55.913[48.675–62.595](P = 0.042). However, this difference was not noticed at for the 48-hour cumulative consumption. There were also no significant differences in postoperative VAS scores and time to first rescue analgesia between the two groups, although the postoperative BCS scores were significant higher in the lateral QLB group. Posterior QLB had a higher incidence of intraoperative ephedrine use, while lateral QLB was associated with a higher proportion of ipsilateral lower limb weakness. No significant differences were found in adverse effects or complications. Conclusions Posterior QLB was associated with modestly lower postoperative opioid consumption compared to lateral QLB in RAPN, although the difference was modest. Both techniques provided comparable pain relief.

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“…[ 3 ] The former’s merit is highlighted in the fact that some researchers have erroneously described a combined IPP-PSP injection as PECS I + PECS II block, failing to acknowledge the dual injection in PECS II. [ 4 ] The need for a uniform vocabulary across the regional anesthetic literature is reemphasized for the sake of effective teaching–training in the discipline, hence the call for action.…”

mentioning

confidence: 99%