O-46 Continuous paravertebral block versus intravenous analgesia in minimally invasive cardiac surgery via thoracotomy

2011 ◽  
Vol 25 (3) ◽  
pp. S20
Author(s):  
Irene Casanova ◽  
Paula Carmona ◽  
Jose Llagunes ◽  
Eva Mateo ◽  
Sergio Canovas ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Minimally Invasive Cardiac Surgery ◽  
Paravertebral Block ◽  
Intravenous Analgesia

scholarly journals A case series of continuous paravertebral block in minimally invasive cardiac surgery

2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Shintaro Tahara ◽  
Akito Inoue ◽  
Hajime Sakamoto ◽  
Yasuaki Tatara ◽  
Kayoko Masuda ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Case Series ◽  
Minimally Invasive Cardiac Surgery ◽  
Paravertebral Block

Continuous percutaneous paravertebral block for minimally invasive cardiac surgery

1999 ◽  
Vol 13 (5) ◽  
pp. 594-596 ◽  
Author(s):  
Sugantha Ganapathy ◽  
John M. Murkin ◽  
Douglas W. Boyd ◽  
Wojciech Dobkowski ◽  
Joanne Morgan
Keyword(s):  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Minimally Invasive Cardiac Surgery ◽  
Paravertebral Block

Abstract 14982: Paravertebral Block With a Paravertebral Catheter May Improve Outcomes After Minimally-invasive Cardiac Surgery

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Diane Kim ◽  
Monica Hsieh ◽  
Travis Schisler ◽  
Richard Cook
Keyword(s):  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Hospital Length ◽  
Vancouver General Hospital ◽  
Minimally Invasive Cardiac Surgery ◽  
Paravertebral Block ◽  
Hospital Length Of Stay ◽  
Control Group ◽  
Opioid Use ◽  
Paravertebral Space

Background: Postoperative (post-op) pain following minimally-invasive cardiac surgery (MICS) may complicate outcomes in patients having surgery performed through a right mini-thoracotomy. Regional anaesthesia, by delivery of local anaesthetic agents to the paravertebral space using a paravertebral catheter (paravertebral block, PVB) may be useful to reduce post-op pain, however, few studies have reported outcomes on patients undergoing MICS with the use of a PVB. Methods: Ninety consecutive patients who underwent MICS at Vancouver General Hospital between January 2016 and May 2019 were included in this retrospective study. Data were collected for 53 patients who only had routine pain control (control) and 37 patients who had a PVB (PVB). Primary outcomes were post-op opioid use and hospital length of stay (LOS). Peri-operative (peri-op) death and stroke were secondary outcomes. Statistical analyses were performed using ANOVA single factor and t-tests. Results: Patient demographics and operative times were comparable between the two groups. The average total amount of opioid consumed in the PVB group was lower at 155.3 mg morphine equivalents, compared to 193.9 mg in the control group, however, the difference was not statistically significant (p=0.39) (Figure 1). However, the percentage of patients who did NOT receive any oxycodone was almost double in the PVB group (43.2% vs 24.5%, PVB vs control, respectively. p=0.06). The average LOS for the PVB group was significantly lower than the control group (5.4 vs 8.3 days, PVB vs control, respectively. p=0.006) (Figure 1). There were no peri-op deaths or strokes. Conclusion: In our experience, addition of a regional anesthetic was associated with ~20% reduction in the amount of opioid narcotic required. Although not statistically significant, this may be a clinically important difference, as the LOS was significantly lower in the PVB group. Outcomes in patients undergoing MICS may be improved with the addition of a PVB.

Minimally Invasive Cardiac Surgery Using a Flexible Aortic Clamp

2007 ◽  
Vol 10 (6) ◽  
pp. E428-E430
Author(s):  
B. Reddy Dandolu ◽  
John L. Parmet ◽  
Charles Yarnall ◽  
Alice Isidro ◽  
Charles R. Bridges
Keyword(s):  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Minimally Invasive Cardiac Surgery
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