A novel approach for pain management in cardiac surgery via median sternotomy: Bilateral single-shot paravertebral blocks

Heart Surgery Forum

Volumn 10, Issue 5, 2007, Pages 249-254

  Olivier, Jean François ^a   Bracco, David ^a   Nguyen, Philippe ^a   Le, Nhien ^a   Noiseux, Nicolas ^b   Hemmerling, Thomas ^a,b,c,d,e  

^a MCGILL UNIVERSITY HEALTH CENTRE   (Canada)

^b CENTRE HOSPITALIER DE L UNIVERSITÉ DE MONTRÉAL   (Canada)

^c MCGILL UNIVERSITY   (Canada)

^d UNIVERSITÉ DE MONTRÉAL   (Canada)

^e MONTREAL GENERAL HOSPITAL   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

BUPIVACAINE; EPHEDRINE; FENTANYL; HEPARIN; OPIATE; PHENYLEPHRINE;

ACUTE KIDNEY FAILURE; ADULT; AGED; ARTICLE; BLEEDING; BLOOD TRANSFUSION; BODY WEIGHT; BRADYCARDIA; CLINICAL TRIAL; COMORBIDITY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORONARY ARTERY BYPASS GRAFT; DRUG DOSE COMPARISON; EPIDURAL ANESTHESIA; EPIDURAL HEMATOMA; EXTUBATION; FEMALE; HEART ATRIUM FIBRILLATION; HEART EJECTION FRACTION; HEART INFARCTION; HEART SUPRAVENTRICULAR ARRHYTHMIA; HEART SURGERY; HEART VENTRICLE TACHYCARDIA; HUMAN; HYPOTENSION; INTERMETHOD COMPARISON; LOW DRUG DOSE; MAJOR CLINICAL STUDY; MALE; MEDIASTINITIS; MITRAL VALVE REPLACEMENT; NAUSEA; NERVE BLOCK; OFF PUMP CORONARY SURGERY; PAIN ASSESSMENT; PNEUMONIA; POSTOPERATIVE COMPLICATION; POSTOPERATIVE PAIN; PRIORITY JOURNAL; REGIONAL ANESTHESIA; SCORING SYSTEM; SINGLE DRUG DOSE; SINUS NODE; STERNOTOMY; THORACIC PARAVERTEBRAL BLOCK; THORAX EPIDURAL ANESTHESIA; TREATMENT OUTCOME; URINE RETENTION; VOMITING; CLASSIFICATION; COMPARATIVE STUDY; METHODOLOGY; MIDDLE AGED; PAIN; PROSPECTIVE STUDY; STERNUM;

ADULT; AGED; AGED, 80 AND OVER; ANESTHESIA, EPIDURAL; CORONARY ARTERY BYPASS, OFF-PUMP; FEMALE; HUMANS; MALE; MIDDLE AGED; PAIN; PAIN, POSTOPERATIVE; PROSPECTIVE STUDIES; STERNUM;

EID: 35348930490     PISSN: 10983511     EISSN: None     Source Type: Journal    
DOI: 10.1532/HSF98.20071082     Document Type: Article

References (32)

1. Canto M, Sanchez MJ, Casas MA, et al. 2003. Bilateral paravertebral blockade for conventional cardiac surgery. Anaesthesia 58:365-70.
2. Coveney E, Weltz CR, Greengrass R, et al. 1998. Use of paravertebral block anesthesia in the surgical management of breast cancer: experience in 156 cases. Ann Surg 227:496-501.
3. Davies RG, Myles PS, Graham JM. 2006. A comparison of the analgesic efficacy and side-effects of paravertebral vs epidural blockade for thoracotomy - a systematic review and meta-analysis of randomized trials. Br J Anaesth 96:418-26.
4. Dhole S, Mehta Y, Saxena H, et al. 2001. Comparison of continuous thoracic epidural and paravertebral blocks for postoperative analgesia after minimally invasive direct coronary artery bypass surgery. J Cardiothorac Vasc Anesth 15:288-92.
5. Ganapathy S, Murkin JM, Boyd DW, Dobkowski W, Morgan J. 1999. Continuous percutaneous paravertebral block for minimally invasive cardiac surgery. J Cardiothorac Vasc Anesth 13:594-6.
6. Ganapathy S, Murkin JM, Dobkowski W, Boyd D. 2001. Stress and inflammatory response after beating heart surgery versus conventional bypass surgery: the role of thoracic epidural anesthesia. Heart Surg Forum 4:323-7.
7. Ganapathy S, Nielsen KC, Steele SM. 2005. Outcomes after paravertebral blocks. Int Anesthesiol Clin 43:185-93.
8. Hemmerling TM, Choiniere JL, Basile F, Le N, Olivier JF, Prieto I. 2004. Immediate extubation after aortic valve surgery using high thoracic epidural anesthesia. Heart Surg Forum 7:16-20.
9. Hemmerling TM, Le N, Olivier JF, Choiniere JL, Basile F, Prieto I. 2005. Immediate extubation after aortic valve surgery using high thoracic epidural analgesia or opioid-based analgesia. J Cardiothorac Vasc Anesth 19:176-81.
10. Hemmerling TM, Prieto I, Choiniere JL, Basile F, Fortier JD. 2004. Ultra-fast-track anesthesia in off-pump coronary artery bypass grafting: a prospective audit comparing opioid-based anesthesia vs thoracic epidural-based anesthesia. Can J Anaesth 51:163-8.
11. Hill SE, Keller RA, Stafford-Smith M, Grichnik K, et al. 2006. Efficacy of single-dose, multilevel paravertebral nerve blockade for analgesia after thoracoscopic procedures. Anesthesiology 104:1047-53.
12. Ho AM, Chung DC, Joynt GM. 2000. Neuraxial blockade and hematoma in cardiac surgery: estimating the risk of a rare adverse event that has not (yet) occurred. Chest 117:551-5.
13. Horlocker TT, Wedel DJ, Benzon H, et al. 2004. Regional anesthesia in the anticoagulated patient: defining the risks. Reg Anesth Pain Med 29:1-12.
14. Joachimsson PO, Nystrom SO, Tyden H. 1989. Early extubation after coronary artery surgery in efficiently rewarmed patients: a postoperative comparison of opioid anesthesia versus inhalational anesthesia and thoracic epidural analgesia. J Cardiothorac Anesth 3:444-54.
15. Karmakar MK. 2001. Thoracic paravertebral block. Anesthesiology 95:771-80.
16. Karmakar MK, Booker PD, Franks R. 1997. Bilateral continuous paravertebral block used for postoperative analgesia in an infant having bilateral thoracotomy. Paediatr Anaesth 7:469-71.
17. Klein SM, Bergh A, Steele SM, et al. 2000. Thoracic paravertebral block for breast surgery. Anesth Analg 90:1402-5.
18. Liem TH, Hasenbos MA, Booij LH, Gielen MJ. 1992. Coronary artery bypass grafting using two different anesthetic techniques. Part 2: postoperative outcome. J Cardiothorac Vasc Anesth 6:156-61.
19. Moore CM, Cross MH, Desborough JP, Burrin JM, Macdonald IA, Hall GM. 1995. Hormonal effects of thoracic extradural analgesia for cardiac surgery. Br J Anaesth 75:387-93.
20. Nair V, Henry R. 2001. Bilateral paravertebral block: a satisfactory alternative for labour analgesia. Can J Anaesth 48:179-84.
21. Olivier JF, Le N, Choiniere JL, Prieto I, Basile F, Hemmerling T. 2005. Comparison of three different epidural solutions in off-pump cardiac surgery: pilot study. Br J Anaesth 95:685-91.
22. Richardson J, Lonnqvist PA. 1998. Thoracic paravertebral block. Br J Anaesth 81:230-8.
23. Richardson J, Vowden P, Sabanathan S. 1995. Bilateral paravertebral analgesia for major abdominal vascular surgery: a preliminary report. Anaesthesia 50:995-8.
24. Royse C, Royse A, Soeding P, Blake D, Pang J. 2003. Prospective randomized trial of high thoracic epidural analgesia for coronary artery bypass surgery. Ann Thorac Surg 75:93-100.
25. Ruppen W, Derry S, McQuay HJ, Moore RA. 2006. Incidence of epidural haematoma and neurological injury in cardiovascular patients with epidural analgesia/anaesthesia: systematic review and meta-analysis. BMC Anesthesiol 6:10.
26. Scott NB, Turfrey DJ, Ray DA, et al. 2001. A prospective randomized study of the potential benefits of thoracic epidural anesthesia and analgesia in patients undergoing coronary artery bypass grafting. Anesth Analg 93:528-35.
27. Soni AK, Conacher ID, Waller DA, Hilton CJ. 1994. Video-assisted thoracoscopic placement of paravertebral catheters: a technique for postoperative analgesia for bilateral thoracoscopic surgery. Br J Anaesth 72:462-4.
28. Stenseth R, Berg EM, Bjella L, Christensen O, Levang OW, Gisvold SE. 1995. Effects of thoracic epidural analgesia on coronary hemodynamics and myocardial metabolism in coronary artery bypass surgery. J Cardiothorac Vasc Anesth 9:503-9.
29. Stenseth R, Bjella L, Berg EM, Christensen O, Levang OW, Gisvold SE. 1994. Thoracic epidural analgesia in aortocoronary bypass surgery. I: haemodynamic effects. Acta Anaesthesiol Scand 38:826-33.
30. Turfrey DJ, Ray DA, Sutcliffe NP, Ramayya P, Kenny GN, Scott NB. 1997. Thoracic epidural anaesthesia for coronary artery bypass graft surgery. Effects on postoperative complications. Anaesthesia 52: 1090-5.
31. Vogt A, Stieger DS, Theurillat C, Curatolo M. 2005. Single-injection thoracic paravertebral block for postoperative pain treatment after thoracoscopic surgery. Br J Anaesth 95:816-21.
32. Weltz CR, Greengrass RA, Lyerly HK. 1995. Ambulatory surgical management of breast carcinoma using paravertebral block. Ann Surg 222:19-26.