Regional anesthesia considerations for cardiac surgery

Henry Liu, Patrick I. Emelife, Amit Prabhakar, Vanessa Moll, Julia B. Kendrick, Allan T. Parr, Farees Hyatali, Thakur Pankaj, Jinlei Li, Elyse M. Cornett, Richard D. Urman, Charles J. Fox, Alan D. Kaye

Research output: Contribution to journalReview article

Abstract

Pain is a significant consequence of cardiac surgery and newer techniques in cardiac anesthesia have provided an impetus for the development of multimodal techniques to manage acute pain in this setting. In this regard, regional anesthesia techniques have been increasingly used in many cardiac surgical procedures, for the purposes of reducing perioperative consumption of opioid agents and enhanced recovery after surgery. The present investigation focuses on most currently used regional techniques in cardiac surgical procedures. These regional techniques include chest wall blocks (e.g., PECS I and II, SAP, ESB, PVB), sternal blocks (e.g., TTMPB, PSINB), and neuraxial blocks (e.g., TEA, high spinal anesthesia). The present investigation also summarizes indications, technique, complications, and potential clinical benefits of these evolving regional techniques. Cardiac surgery patients may benefit from application of these regional techniques with well controlled indications and careful patient selections.

Original languageEnglish (US)
Pages (from-to)387-406
Number of pages20
JournalBest Practice and Research: Clinical Anaesthesiology
Volume33
Issue number4
DOIs
StatePublished - Dec 2019

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

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    Liu, H., Emelife, P. I., Prabhakar, A., Moll, V., Kendrick, J. B., Parr, A. T., Hyatali, F., Pankaj, T., Li, J., Cornett, E. M., Urman, R. D., Fox, C. J., & Kaye, A. D. (2019). Regional anesthesia considerations for cardiac surgery. Best Practice and Research: Clinical Anaesthesiology, 33(4), 387-406. https://doi.org/10.1016/j.bpa.2019.07.008