Transversus Thoracic Muscle Plane Block for Analgesia After Pediatric Cardiac Surgery

Çakmak, Meltem; Işık, Onur

doi:10.1053/j.jvca.2020.07.053

Cited by 25 publications

(24 citation statements)

References 20 publications

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“…Also, M.E. Aydin et al (14) & M. Cakmak and O. Isik (11) have found the same. On the other hand I.I.…”

Section: Discussionmentioning

confidence: 59%

“…Many studies have reported the same. (9,10,11) However, M.E. Aydin et al (8) reported lower VAS scores only in the first 12 hours after extubation with no difference between block and non-block groups at 24 hours; this can be attributed to the time of performing the block as they performed TTMP block before surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Also, various studies have reported the efficacy of TTMP block in reducing opioid consumption after cardiac surgery among the pediatric population. (9,10,11) On the other hand, Fujii et al (12) reported that the 24-hour opioid requirement was similar in patients who received or did not receive the block, this can be attributed to; first: their study was a pilot study and included only 19 patients which is a small number to declare a difference, second: lack of control of intraoperative and ICU opioid use which can affect postoperative pain scores and opioid requirement, furthermore, 60% of their patients underwent CABG with IMA harvesting. IMA harvesting will result in surgical disturbance of the TTMP block plane and uneven spread of the injectate between the desired thoracic levels.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, studies in pediatrics found a shorter time for extubation among patients who received the block. (9,10,11) Extubation is not dependent only on pain control; other factors such as hemodynamic stability and complete reversibility of NMB can affect the extubation time.…”

Section: Discussionmentioning

confidence: 99%

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The Analgesic Efficacy of Ultrasound-guided Bilateral Transversus Thoracic MusclePlane Block after Open-Heart Surgeries: A Randomized Controlled Study

Hamed

Boules

Sobhy

et al. 2021

Preprint

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Background: We aimed to evaluate the analgesic efficacy of ultrasound-guided bilateral Transversus Thoracic Muscle Plane Block after Open-Heart Surgeries. Methods: 70 patients aged above 18 years and scheduled for valve replacement or adult congenital via median sternotomy were enrolled in this study. Patients were divided into two groups, randomized by computer-generated random numbers: the block group, which had the ultrasound-guided bilateral transversus thoracic muscle plane block, and the control group, which had a sham block. The primary outcome was total fentanyl consumption in the first 24-hours. The secondary outcomes were pain score, time to the first analgesic request, time to extubation , ICU stays, and hospital stay. Results: The total fentanyl consumption in the first 24 hours was significantly lower in the block group, with a mean difference of -158.286 (95% CI = (-179.271 to -137.300; p=<0.0001). The time to the first analgesic request was statistically significantly shorter in the non-block group (median 3 hours) than the block group (median 14 hours). During the postoperative period (0.5-24 hours), at-rest pain scores were 1.86 units lower in the block group (the estimate was -1.80, 95% CI = -2.14 to -1.45, t = -10.323 with p <0.0001). Likewise, pain scores with cough were 3.29 units lower in the block group (the estimate was -3.29, 95% CI = -3.80 to -2.77, t = -12.703, p <0.0001).Conclusion: Bilateral Transversus Thoracic Muscle Plane Block is a promising and effective technique in reducing opioid consumption and controlling post-sternotomy pain after open-heart surgery via median sternotomy.Trial Registration: This study is registered on ClinicalTrials.gov (NCT04116554; principal investigator: Mohamed Ahmed Hamed; date of registration: October 4, 2019).

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“…Also, M.E. Aydin et al (14) & M. Cakmak and O. Isik (11) have found the same. On the other hand I.I.…”

Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The Analgesic Efficacy of Ultrasound-guided Bilateral Transversus Thoracic MusclePlane Block after Open-Heart Surgeries: A Randomized Controlled Study

Hamed

Boules

Sobhy

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…A retrospective study by Cakmak et al studied the analgesic efficacy of TTPB in pediatric patients undergoing congenital cardiac surgery through median sternotomy. 13 They found that pain scores and postoperative fentanyl doses were significantly lower in the T group than in the non-T group. 13 Extubation time was significantly shorter in the T group (p<0.001).…”

Section: Discussionmentioning

confidence: 97%

Evaluation of the Analgesic Efficacy of Bilateral Ultrasound-Guided Transversus Thoracic Muscle Plane Block on Post-Sternotomy Pain: A Randomized Controlled Trial

Shokri¹,

Ali²,

Kasem³

2021

LRA

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Thoracic transversus plane block as part of a multimodal analgesia plan in a cat undergoing sternotomy

Pérez

Martínez

Jiménez

2023

Vet Record Case Reports

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A 12‐year‐old, neutered, male, domestic shorthair cat presented for investigation of acute‐onset respiratory distress and cough. Computed tomography scan showed bilateral pleural effusion and dorsal elevation of the trachea compatible with a mass effect. A median sternotomy was performed. Anaesthetic protocol consisted of premedication with intravenous methadone (0.2 mg/kg), induction with alfaxalone to effect and maintenance with isoflurane in oxygen. Transversus thoracic muscle plane block was performed injecting 0.4 mL/kg of 0.25% bupivacaine per side. Fentanyl (2 μg/kg) was administered as rescue analgesia once during surgery. The Glasgow Composite Pain Scale was assessed postoperatively. Methadone was given as rescue analgesia postoperatively when Glasgow pain score was greater than 5/20. The first administration of methadone was required at 8 hours after the transversus thoracic muscle plane block was performed. This case showed that the ultrasound‐guided transversus thoracic muscle plane block is a feasible technique in feline patients as part of a multimodal analgesia plan in a cat undergoing sternotomy.

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Transversus Thoracic Muscle Plane Block for Analgesia After Pediatric Cardiac Surgery

Cited by 25 publications

References 20 publications

The Analgesic Efficacy of Ultrasound-guided Bilateral Transversus Thoracic MusclePlane Block after Open-Heart Surgeries: A Randomized Controlled Study

The Analgesic Efficacy of Ultrasound-guided Bilateral Transversus Thoracic MusclePlane Block after Open-Heart Surgeries: A Randomized Controlled Study

Evaluation of the Analgesic Efficacy of Bilateral Ultrasound-Guided Transversus Thoracic Muscle Plane Block on Post-Sternotomy Pain: A Randomized Controlled Trial

Thoracic transversus plane block as part of a multimodal analgesia plan in a cat undergoing sternotomy

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