RETRACTED: Transcatheter aortic valve implantation performed with a PECS block and a TTP block

Ueshima, Hironobu; Hiroshi,; Otake,

doi:10.1016/j.jclinane.2017.01.003

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…Only a small numbers of Case reports are published, i.e. [13][14][15] next to a bunch of publications about local/ regional anesthesia using PECS1 block for breast surgery [6,16]. No specific publication exists for the use of PECS1 block under the idea of regional anesthesia performing subfascial cardiac device implantations [10], other than one publication for minimal invasive cardiac surgery [11].…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Ropivacaine-Driven Pectoralis-Blockage 1 to avoid Significant and Severe Pain during Pacemaker-Implantation

Anger¹,

Pabst²,

Linnemann³

et al. 2019

J Integr Cardiol

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The implantation of cardiac devices (pacemakers) is often performed through invasive cardiologists under painful conditions for the patients lacking the knowledge of specific regional anesthesia. To rescue this situation, physicians are forced to use (i) sedation for the patients and (ii) tons of regional anesthesia like 500mg Prilocaine. We followed the idea of specific regional anaesthesia using ultrasound-guided pectoralis blockage 1 (PECS1 block: 10ml Ropivacaine 0.5%) and compared this approach with commonly used regional anesthesia on individuals with the indication for cardiac pacemaker implantation. We found significant less pain sensations using the PECS1 block during the operation procedure. US guided PECS1 block is a safe and completely useful tool in the Cath lab to proceed with cardiac device implantations.

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Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Ropivacaine-Driven Pectoralis-Blockage 1 to avoid Significant and Severe Pain during Pacemaker-Implantation

Anger¹,

Pabst²,

Linnemann³

et al. 2019

J Integr Cardiol

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“…However, the indications for these techniques are still under debate, because the insertion of a needle into the deep structures may increase the risk of complications [ 8 – 11 ], especially in patients receiving antiplatelet or anticoagulant therapy, which is commonly administered in elderly patients undergoing TAVI. To avoid the complications associated with deep needle insertion, PECS II block has been suggested to be a useful option, as it is categorized as a “superficial block.” Recently, the efficacy of PECS block by bolus injection for TA-TAVI was reported [ 12 ], but the effectiveness of catheterization for continuous PECS II block has not yet been reported on postoperative pain in patients undergoing TA-TAVI. Since we considered that continuous PECS II block could be used not only intraoperatively, but also postoperatively, we report two cases undergoing TA-TAVI in which we performed continuous PECS II block for perioperative pain management.…”

Section: Introductionmentioning

confidence: 99%

Continuous PECS II block for postoperative analgesia in patients undergoing transapical transcatheter aortic valve implantation

et al. 2017

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It has been reported that PECS II block can alleviate postoperative pain following transapical transcatheter aortic valve implantation (TA-TAVI). However, the effectiveness of continuous PECS II block with catheterization has not yet been reported on the postoperative pain in patients undergoing TA-TAVI. We experienced two cases of TA-TAVI who received PECS II block with catheterization to manage postoperative pain. In the first case, a bolus injection for intraoperative pain and subsequent catheterization were performed before the implantation. However, the patient developed severe pain postoperatively in spite of the continuous block due to displacement of the catheter. In the second case, a bolus injection and the catheterization for the continuous block were performed before and after the implantation, respectively, which provided high-quality pain control. Continuous PECS II block may be useful to control perioperative pain associated with TA-TAVI. The insertion of the catheter after the implantation could be useful to avoid its displacement during the surgery.

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Ultrasound-guided blocks for cardiovascular surgery: which block for which patient?

Smith

Barrington

2020

Current Opinion in Anaesthesiology

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Purpose of review Regional anesthesia blocks may benefit patients undergoing cardiovascular surgery. This review coincides with the evolution of ultrasound-guided fascial plane blocks, societal concerns regarding opioid misuse and changing expectations regarding surgical recovery. Recent findings Paravertebral block and thoracic epidural analgesia have comparable postoperative analgesic profiles following thoracotomy; however, the former has a more favorable complication profile. Limited trials have compared these modalities in cardiac surgery. The mechanism of action of continuous paravertebral blockade may be systemic. Bilateral continuous paravertebral (and other continuous peripheral nerve blocks) should be used with caution in adult patients having cardiac surgery because of the risk of systemic local anesthetic toxicity and bleeding. Novel ultrasound-guided blocks: erector spinae, serratus anterior, pectoral, transversus thoracic muscle and pecto-intercostal fascial plane blocks potentially reduce postoperative opioid requirements; however, they require further investigation before their routine use can be recommended in adult cardiovascular surgical practice. The mechanism of action of erector spinae block is not fully elucidated. Summary Ultrasound-guided fascial plane blocks may reduce postoperative opioid requirements. Investigation into the safety and efficacy of bilateral continuous ultrasound-guided blockade for cardiac surgery is required. Trial protocols should be embedded into enhanced recovery after surgery programs. Patient-reported and long-term outcomes are recommended.

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RETRACTED: Transcatheter aortic valve implantation performed with a PECS block and a TTP block

Cited by 3 publications

References 4 publications

Ultrasound-Guided Ropivacaine-Driven Pectoralis-Blockage 1 to avoid Significant and Severe Pain during Pacemaker-Implantation

Ultrasound-Guided Ropivacaine-Driven Pectoralis-Blockage 1 to avoid Significant and Severe Pain during Pacemaker-Implantation

Continuous PECS II block for postoperative analgesia in patients undergoing transapical transcatheter aortic valve implantation

Ultrasound-guided blocks for cardiovascular surgery: which block for which patient?

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