Key result
Transversus thoracis plane block is a newly developed analgesic technique that can provide adequate perioperative analgesia in pediatric cardiac surgery, with a suggested dose of 0.3-0.4 ml/kg bupivacaine 0.2-0.25%.
Why the study?
The optimal dose of local anesthetics for transversus thoracis plane block in pediatric cardiac surgery has not been described in the literature.
Does bilateral transversus thoracis muscle plane block improve perioperative analgesia in children undergoing open heart surgery via median sternotomy?
Does bilateral transversus thoracis muscle plane block improve perioperative analgesia in children undergoing open heart surgery via median sternotomy?
Transversus thoracis muscle plane block using 0.2-0.4 mL/kg of 0.2-0.25% bupivacaine is proposed as an effective and safe regional analgesic technique for children undergoing median sternotomy.
Answers are grounded in this paper and cite their sources.
May support TTP block for pediatric sternotomy analgesia; leaves open need for randomized confirmation before practice change.
Sternum is the main source of pain after cardiac surgery. The use of high doses of opioid are associated with prolonged mechanical ventilation. Regional anesthetic techniques facilitate early recovery. Transversus thoracis plane (TTP) block is a newly developed analgesic technique that can provide adequate analgesia for surgeries associated with sternotomy. In pediatric cardiac surgery, the dose of local anesthetics for TTP block is not described in any of literature. In our hospital (Mansoura University Children Hospital), we perform bilateral TTP block for most of children submitted for cardiac surgery via median sternotomy in a dose of 0.2-0.3mL/kg 0.2 to 0.25 % bupivacaine on each side of sternum. We found that, the above dose provides effective perioperative analgesia without any signs of local anesthetic toxicity. The aim of this work is to highlight the analgesic efficacy of TTP block and the dose of local anesthetic in children undergoing open heart surgery via median sternotomy.
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Nabil A. Mageed (2020) conducted a review in Pain after pediatric open heart surgery via median sternotomy. Transversus thoracis muscle plane (TTP) block was evaluated. Transversus thoracis plane block is a newly developed analgesic technique that can provide adequate perioperative analgesia in pediatric cardiac surgery, with a suggested dose of 0.3-0.4 ml/kg bupivacaine 0.2-0.25%.
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