Ultrasound-Guided Continuous Thoracic Erector Spinae Plane Block Within an Enhanced Recovery Program Is Associated with Decreased Opioid Consumption and Improved Patient Postoperative Rehabilitation After Open Cardiac Surgery-A Patient-Matched, Controlled Before-and-After Study.

Journal: Journal of cardiothoracic and vascular anesthesia
PMID: 30665850

Abstract

OBJECTIVES: Open cardiac surgery may cause severe postoperative pain. The authors hypothesized that patients receiving a bundle of care using continuous erector spinae plane blocks (ESPB) would have decreased perioperative opioid consumption and improved early outcome parameters compared with standard perioperative management.

Authors

  • Philippe Macaire
    Department of Anesthesiology and Critical Care Medicine, Vinmec International Hospital, Hanoi, Vietnam.
  • Nga Ho
    Department of Cardiac Surgery, Vinmec International Hospital, Ho Chi Minh City, Vietnam.
  • Tan Nguyen
    Department of Anesthesiology and Critical Care Medicine, Vinmec International Hospital, Hanoi, Vietnam.
  • Binh Nguyen
    Department of Anesthesiology and Critical Care Medicine, Vinmec International Hospital, Ho Chi Minh City, Vietnam.
  • Viet Vu
    Department of Cardiac Surgery, Vinmec International Hospital, Ho Chi Minh City, Vietnam.
  • Chinh Quach
    Department of Cardiac Surgery, Vinmec International Hospital, Ho Chi Minh City, Vietnam.
  • Vicente Roques
    Department of Anesthesiology and Critical Care Medicine, Hospital Virgen de la Arrixaca, Murcia, Spain.
  • Xavier Capdevila
    Department of Anesthesiology and Critical Care Medicine, Lapeyronie University Hospital, Cedex, France; Montpellier NeuroSciences Institute, Montpellier University, Montpellier, France. Electronic address: x-capdevila@chu-montpellier.fr.

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