Bilateral erector spinae plane blocks for sternotomy pain in a patient who underwent left ventricular assist device placement and experienced decreased inspiratory effort and increased oxygen requirements

O'Rourke, Michael; Ander, Michael; Oftadeh, Mina

doi:10.1016/j.jclinane.2019.03.023

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…Several case reports involving the use of bilateral single-shot or continuous ESPBs for adult and pediatric cardiac patients have been published. [33][34][35] Authors of a prospective, RTC of bilateral single-shot ESPBs versus pharmacological management found a statistically significant decrease in postoperative pain scores with increased duration of pain relief in cardiac surgery. 36 Authors of a prospective, randomized comparative study of 50 adults undergoing median sternotomy cardiac surgeries compared ultrasound-guided bilateral ESPB to TEA.…”

Section: Erector Spinae Plane Block (Espb)mentioning

confidence: 99%

Regional anesthesia for transplantation surgery – A white paper part 1: Thoracic transplantation surgery

Ander

Mugve

Crouch

et al. 2023

Clinical Transplantation

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Transplantation surgery continues to evolve and improve through advancements in transplant technique and technology. With the increased availability of ultrasound machines as well as the continued development of enhanced recovery after surgery (ERAS) protocols, regional anesthesia has become an essential component of providing analgesia and minimizing opioid use perioperatively. Many centers currently utilize peripheral and neuraxial blocks during transplantation surgery, but these techniques are far from standardized practices. The utilization of these procedures is often dependent on transplantation centers’ historical methods and perioperative cultures. To date, no formal guidelines or recommendations exist which address the use of regional anesthesia in transplantation surgery. In response, the Society for the Advancement of Transplant Anesthesia (SATA) identified experts in both transplantation surgery and regional anesthesia to review available literature concerning these topics. The goal of this task force was to provide an overview of these publications to help guide transplantation anesthesiologists in utilizing regional anesthesia. The literature search encompassed most transplantation surgeries currently performed and the multitude of associated regional anesthetic techniques. Outcomes analyzed included analgesic effectiveness of the blocks, reduction in other analgesic modalities—particularly opioid use, improvement in patient hemodynamics, as well as associated complications. The findings summarized in this systemic review support the use of regional anesthesia for postoperative pain control after transplantation surgeries. Part 1 of the manuscript focuses on regional anesthesia performed in thoracic transplantation surgeries, and part 2 in abdominal transplantations.

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