Why the study?
Deep neuraxial and paravertebral blocks carry risks of hematoma and hemodynamic compromise in anticoagulated cardiac surgery patients, prompting the need to evaluate safer chest wall fascial plane blocks.
Does peripheral regional analgesia improve postoperative pain management and reduce opioid requirements in patients undergoing cardiac surgery?
Design
Review article
Authors
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Regional techniques warrant caution due to hematoma risk in anticoagulated cardiac patients; leaves open optimal role of fascial plane blocks.
Does peripheral regional analgesia improve postoperative pain management and reduce opioid requirements in patients undergoing cardiac surgery?
Fascial plane blocks offer a safer alternative to neuraxial blocks for postoperative analgesia in cardiac surgery, potentially reducing opioid use and fitting into Enhanced Recovery after Cardiac Surgery (ERACS) protocols.
Devarajan et al. (2021) studied this question.
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