Regıonal Analgesıa Technıques For Effectıve Recovery To Coronary Artery Bypass Surgerıes: A Retrospective Study In A Sıngle Center Experıence

Background: Pain after cardiac surgery is both multifocal and multifactorial. Sternotomy, sternal retraction, internal mammary dissection, posterior rib dislocation or fracture, possible brachial plexus injury, and mediastinal and pleural drains contribute to pain experienced in the immediate postoperative period. Ineffective pain management can cause systemic and pulmonary complications and significant cardiac consequences Methods: This study was conducted to compare the effectiveness of regional anesthesia techniques for perioperative pain management in cardiac surgery patients at our clinic. The effects of analgesic methods, in terms of contributing to recovery, have been examined. Results: Records of 229 patients who underwent coronary artery bypass surgery between January 2015 and March 2020 were reviewed. It was also observed that none of the patients received balloon pump support, but 20 were transferred to the Cardiovascular intensive care unit while intubated. The anesthesia methods of patients transferred to intubation intensive care were examined, as regional anesthesia was used in 2 patients, while no regional anesthesia was used in 18 patients. Notably, the consumption of opioids in cases where regional anesthesia was used was statistically low. Conclusion: Regional anesthesia techniques severely limit opioid consumption during cardiac surgery. Its importance will gradually increase in terms of rapid recovery criteria. According to our study results in cardiac surgery, double injection of the erector spinae plane block seems to be the most effective. Thus, we supported the facial plane blocks during cardiac surgery. Trial Number: The study is registered with clinicaltrials. The study has an ethics committee registration and approval with the number 2021.464.IRB1.131.