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Regional analgesia for cardiac surgery
Michael C Grant1, Alexander J Gregory2, Jean-Pierre P Ouanes3
1Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Current Opinion in Anaesthesiology
|July 28, 2022
Summary
Regional anesthesia techniques, including chest wall blocks, are increasingly used in cardiac surgery for better pain control and reduced opioid use. This approach enhances patient recovery and minimizes opioid-related harms in perioperative care.
Area of Science:
- Anesthesiology
- Pain Management
- Cardiac Surgery
Background:
- Regional anesthesia is recognized for its role in multimodal, opioid-sparing analgesia.
- Perioperative care in cardiac surgery emphasizes enhanced recovery and reduced opioid-related harms.
Purpose of the Study:
- To review recent advancements in regional analgesia applications for cardiac surgery.
- To highlight the growing evidence supporting various regional techniques in this setting.
Main Methods:
- Review of current literature on regional anesthesia techniques in cardiac surgery.
- Focus on emerging methods like "chest wall blocks".
Main Results:
- Multiple regional techniques demonstrate efficacy in cardiac surgery.
- Consistent findings show optimized pain control and reduced opioid requirements.
- Consensus on nerve block nomenclature is developing to standardize practice and research.
Conclusions:
- Regional analgesia is a maturing field in cardiac surgery.
- Various regional techniques are effective components of opioid-sparing pain management.
- These methods contribute to improved patient outcomes in the perioperative period.
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