Pectoral Fascial Plane Versus Paravertebral Blocks for Minimally Invasive Mitral Valve Surgery Analgesia

Vinzant, Nathan J.; Christensen, Jon M.; Yalamuri, Suraj; Smith, Mark M.; Nuttall, Gregory A.; Arghami, Arman; LeMahieu, Allison; Schroeder, Darrell R.; Mauermann, William J.; Ritter, Matthew J.

doi:10.1053/j.jvca.2023.02.012

Cited by 4 publications

(2 citation statements)

References 58 publications

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“…In general, 0.25% of a long-acting local anesthetic with 20 mL for the PSP and 10 mL for the IPP has been found to adequately anesthetize the target nerves 46 . Evidence for their use in MICS is limited; however, a recent single-center, retrospective study comparing the PSP block with the PVB block in patients undergoing MIMVS did find that the patients receiving the PSP had similar pain scores and lower opioid requirements intraoperatively and in the first 24 hours postoperatively 47 . Some success has been found in transcatheter aortic valve replacement (TAVR).…”

Section: Ra For Procedures Involving Mini-thoracotomy or Intercostal ...mentioning

confidence: 99%

“…46 Evidence for their use in MICS is limited; however, a recent single-center, retrospective study comparing the PSP block with the PVB block in patients undergoing MIMVS did find that the patients receiving the PSP had similar pain scores and lower opioid requirements intraoperatively and in the first 24 hours postoperatively. 47 Some success has been found in transcatheter aortic valve replacement (TAVR). A recent case series successfully used the combined IPP and PSP in patients undergoing awake trans-subclavian TAVR.…”

Section: Pectoralis (Pecs) Blocksmentioning

confidence: 99%

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Regional anesthesia in cardiac surgery and electrophysiology procedures

Ocker,

Muafa,

Baratta

2023

International Anesthesiology Clinics

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Section: Ra For Procedures Involving Mini-thoracotomy or Intercostal ...mentioning

confidence: 99%

Section: Pectoralis (Pecs) Blocksmentioning

confidence: 99%

Regional anesthesia in cardiac surgery and electrophysiology procedures

Ocker,

Muafa,

Baratta

2023

International Anesthesiology Clinics

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Chest Wall and Abdominal Blocks for Thoracic and Abdominal Surgeries: A Review

Sharma,

Damiano,

Al-Saidi

et al. 2023

Curr Pain Headache Rep

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Fascial Plane Blocks as Regional Analgesia Techniques for Cardiac Surgeries: a Technical Description and Evidence Update

Nooli,

Goldhammer,

Linganna

et al. 2023

Curr Anesthesiol Rep

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Purpose of Review This article aims to review the anatomy and ultrasound techniques of common interfascial plane blocks used for cardiac surgeries along with the current available evidence for regional analgesia. Recent Findings Thoracic erector spinae plane block (ESPB) has a beneficial role in studies when compared with intravenous pain medications or control groups without blocks for cardiac surgeries. Some retrospective studies showed variable analgesic benefits with ESPB, and a recent meta-analysis did not show promising benefits over thoracic epidural analgesia. Serratus anterior plane block (SAPB) is beneficial with minithoractomy incisions for minimally invasive cardiac surgeries, while para sternal blocks (PSB) or parasternal intercostal plane (PIP) blocks are useful for sternotomy incisions. Pectolaris nerve blocks (PECS) have also been used for various cardiac surgeries with a promising role in cardiac pacemaker and ICD surgeries. Summary There is an increasing trend in the usage of fascial plane blocks for cardiac surgeries. Most can be used as components of multimodal analgesia and play a key role in enhanced recovery after cardiac surgery (ERACS) programs. The choice of these fascial plane blocks as opioid-sparing regional analgesia techniques depends on the incision and type of cardiac surgery. A combination of various fascial plane blocks can be used to increase the efficacy of these blocks, but caution should be exercised in limiting the total quantity of the local anesthetic administered.

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Pectoral Fascial Plane Versus Paravertebral Blocks for Minimally Invasive Mitral Valve Surgery Analgesia

Cited by 4 publications

References 58 publications

Regional anesthesia in cardiac surgery and electrophysiology procedures

Regional anesthesia in cardiac surgery and electrophysiology procedures

Chest Wall and Abdominal Blocks for Thoracic and Abdominal Surgeries: A Review

Fascial Plane Blocks as Regional Analgesia Techniques for Cardiac Surgeries: a Technical Description and Evidence Update

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