Key result
Parasternal intercostal plane block catheters did not decrease postoperative opioid consumption or pain scores but were associated with reduced intraoperative opioids and length of stay.
Why the study?
Anesthesia for cardiac surgery has evolved toward fast-track recovery strategies incorporating non-opioid analgesics and regional anesthesia.
Do preoperative parasternal intercostal plane block catheters with postoperative ropivacaine infusions reduce opioid consumption, pain scores, and length of stay in patients undergoing cardiac surgery via median sternotomy?
Cohort
Do preoperative parasternal intercostal plane block catheters with postoperative ropivacaine infusions reduce opioid consumption, pain scores, and length of stay in patients undergoing cardiac surgery via median sternotomy?
Parasternal intercostal plane block catheters in cardiac surgery reduce intraoperative opioid use and ICU/hospital length of stay, despite no difference in postoperative opioid consumption or pain scores.
May support opioid-sparing blocks after sternotomy; leaves open need for randomized confirmation.
Aim: Anesthesia for cardiac surgery has evolved toward fast-track recovery strategies incorporating non opioid analgesics and regional anesthesia. Materials & methods: This retrospective cohort study compared opioid consumption, pain scores and length of stay in patients who underwent cardiac surgery via median sternotomy and did or did not receive preoperative parasternal intercostal plane block catheters with postoperative ropivacaine infusions. Results: Postoperative opioid consumption and postoperative pain scores did not differ. Blocks were associated with decreased intraoperative opioids and reduced length of stay in the intensive care unit and hospital. Conclusion: Parasternal intercostal plane block catheters were not associated with decreased postoperative opioid consumption or pain scores but were associated with reduced intraoperative opioids and length of stay.
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Francis et al. (2023) conducted a cohort in Cardiac surgery. Preoperative parasternal intercostal plane block catheters with postoperative ropivacaine infusions vs. No parasternal intercostal plane block catheters was evaluated on Postoperative opioid consumption, pain scores, and length of stay. Parasternal intercostal plane block catheters did not decrease postoperative opioid consumption or pain scores but were associated with reduced intraoperative opioids and length of stay.
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