Impact of regional analgesic techniques on recovery after open heart surgery

In a retrospective clinical trial in the Journal of Cardiothoracic Surgery, researchers examined regional anesthesia techniques for managing perioperative pain in patients undergoing coronary bypass surgery. The researchers concluded that the most effective technique appeared to be the double injection of the flat erector spinal block. The team therefore suggested the use of fascial plane blocks during cardiac surgery, which also supported extubation in the operating room, wrote lead author Sami Kaan Cosarcan.

A total of 221 patients who underwent CABG at the authors’ center were retrospectively included in the study.

Of the cohort, 91% were extubated in the operating room, none received a balloon pump, and 20 were transferred to the cardiovascular intensive care unit during their intubation, of which 2 received regional anesthesia. In these 2 patients, further analysis showed that regional anesthesia significantly reduced intraoperative and postoperative opioid consumption after CABG.

The study was limited by its retrospective design. Additionally, patients’ pain scores were collected via a uniform scale and follow-ups were performed by critical care and pain nurses. Additionally, the authors acknowledged that mobilization and length of stay in the intensive care unit have been used as criteria for recovery, “although it is controversial whether or not these determine early recovery.”

Ultimately, study collaborators reported that “regional anesthesia techniques strongly limit opioid consumption during cardiac surgery” and they proposed that “their importance will gradually increase in terms of endpoints.” rapid recovery”.