The Role of Continuous Thoracic Paravertebral Block for Fast-track Anesthesia After Cardiac Surgery via Thoracotomy

Carmona, Paula; Llagunes, J.; Cánovas, Sergio; Andrés, José De; Marques, I Susana

doi:10.1053/j.jvca.2010.04.005

Cited by 9 publications

(4 citation statements)

References 6 publications

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“…Despite these reports, paravertebral blocks have been described in 13 publications as interventions specifically for anticoagulated patients. These publications include cardiac surgery patients, 101,112,118,119 pre-existing coagulopathies, 114,[120][121][122] thrombocytopenia, 123,124 and antiplatelet medications. 102,125,126 No serious complications occurred in any of these reports.…”

Section: Paravertebral Blockmentioning

confidence: 99%

Practice advisory on the bleeding risks for peripheral nerve and interfascial plane blockade: evidence review and expert consensus

Tsui

Kirkham

Kwofie

et al. 2019

Can J Anesth/J Can Anesth

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The risk of bleeding complications during regional anesthesia procedures is a significant patient safety consideration. Nevertheless, existing literature provides limited guidance on the stratification of bleeding risk for peripheral nerve and newly described interfascial plane blocks. Our objective was to produce an evidencebased consensus advisory that classifies bleeding risks in This article is accompanied by an editorial.

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Section: Paravertebral Blockmentioning

confidence: 99%

Practice advisory on the bleeding risks for peripheral nerve and interfascial plane blockade: evidence review and expert consensus

Tsui

Kirkham

Kwofie

et al. 2019

Can J Anesth/J Can Anesth

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“…Authors have shown a high level of safety with equally effective pain control compared to epidural 22 Seminars in Cardiothoracic and Vascular Anesthesia 16 (1) anesthesia. 65,67 Advantages of a paravertebral block over a thoracic epidural include a higher safety margin for neurologic complications and avoidance of bilateral sympathectomy.…”

Section: Postoperative Pain Managementmentioning

confidence: 99%

Anesthetic Considerations During Minimally Invasive Mitral Valve Surgery

Vernick

Woo

2012

Semin Cardiothorac Vasc Anesth

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Advances in instruments and visualization tools as well as circulatory systems for cardiopulmonary bypass during the late 1990s have stimulated widespread adoption of minimally invasive mitral valve surgery (MIMVS). Today, MIMVS is the standard approach for many surgeons and institutions. There are multiple benefits of MIMVS. Patient satisfaction and improved cosmesis are important. Additionally, studies have consistently shown faster recovery times and less associated pain with MIMVS. Statistically significant improvement in bleeding, transfusion, incidence of atrial fibrillation, and time to resumption of normal activities with MIMVS has also been shown when comparing MIMVS with conventional mitral surgery. Most important, these benefits have been achieved without sacrificing perioperative safety or durability of surgical repair. Although a steep learning curve still exists given the high level of case complexity, continued development fueled by increasing patient demand may allow for even further expansion in the use of minimal invasive techniques.

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“…20) As a result, the duration of mechanical ventilation, length of the postoperative ICU stay, length of the hospital stay, hospitalization expenses, and incidence of complications were significantly reduced in group F compared to those of group C. 5,21) It is worth noting that, due to the gradual elimination and reduced plasma concentration, remifentanil was unable to effectively suppress stress responses during extubation and the postoperative period. Therefore, after closing the sternum, 0.375% ropivacaine was applied to the incision and sternal membrane for local infiltration anesthesia, 22) and lidocaine gel was applied to the tracheal tube to reduce the stimulation of the airway, resulting in an efficiently reduced body stress response after surgery. Postoperative analgesia in children was not routinely used, which did not affect the patient’s hemodynamics.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Fast-Track and Conventional Anesthesia for Transthoracic Closure of Ventricular Septal Defects in Pediatric Patients

Chen

Wang

et al. 2019

ATCS

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Background: To compare and analyze the safety and efficacy of fast-track and conventional anesthesia for transthoracic closure of ventricular septal defects (VSDs) in pediatric patients. Methods: A total of 82 pediatric patients undergoing transthoracic closure of VSDs between September and December 2017 were retrospectively analyzed. The patients were divided into two groups, including 42 patients in group F (fast-track anesthesia) and 40 patients in group C (conventional anesthesia). The perioperative clinical data of both groups were collected and statistically analyzed. Results: There were no fatal complications in both groups. No complete atrioventricular block (AVB), new aortic valve regurgitation, and device closure failure were observed. No significant difference was found in preoperative general data or intraoperative hemodynamic changes between the two groups (P >0.05). However, the mechanical ventilation time, length of postoperative intensive care unit (ICU) stay, length of hospital stay, and hospitalization expenses of group F were significantly lower than those of group C (P <0.05). Conclusion: It is safe and effective to use fast-track anesthesia for transthoracic closure of VSDs in pediatric patients.

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The Role of Continuous Thoracic Paravertebral Block for Fast-track Anesthesia After Cardiac Surgery via Thoracotomy

Cited by 9 publications

References 6 publications

Practice advisory on the bleeding risks for peripheral nerve and interfascial plane blockade: evidence review and expert consensus

Practice advisory on the bleeding risks for peripheral nerve and interfascial plane blockade: evidence review and expert consensus

Anesthetic Considerations During Minimally Invasive Mitral Valve Surgery

Comparison of Fast-Track and Conventional Anesthesia for Transthoracic Closure of Ventricular Septal Defects in Pediatric Patients

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