Ultrasound-guided blocks for cardiovascular surgery: which block for which patient?
Lauren M Smith, Michael J Barrington
Current Opinion in Anaesthesiology | LIPPINCOTT WILLIAMS & WILKINS | Published : 2020
PURPOSE OF REVIEW: Regional anesthesia blocks may benefit patients undergoing cardiovascular surgery. This review coincides with the evolution of ultrasound-guided fascial plane blocks, societal concerns regarding opioid misuse and changing expectations regarding surgical recovery. RECENT FINDINGS: Paravertebral block and thoracic epidural analgesia have comparable postoperative analgesic profiles following thoracotomy; however, the former has a more favorable complication profile. Limited trials have compared these modalities in cardiac surgery. The mechanism of action of continuous paravertebral blockade may be systemic. Bilateral continuous paravertebral (and other continuous peripheral n..View full abstract
The work was supported by the Department of Anaesthesia and Acute Pain Medicine, St Vincent's Hospital, Melbourne, Australia.