Acute Pain Management Protocol for Cardiac Procedures

Justin Walker, Rushil Bose, Ashley Jordan, Dennis J. Warfield

Research output: Chapter in Book/Report/Conference proceedingChapter


Regional anesthesia for cardiac surgery has fostered more interest with the implementation of enhanced recovery after surgery (ERAS) protocols and “fast-track” programs in the last decade (Grant et al. Anesth Analg. 131:1852-61, 2020; Cheng. Can J Anaesth. 52:12–7, 2005). Neuraxial, paraneuraxial, fascial plane, and directly targeted nerve blocks have all been described in the literature with varying efficacy and safety profiles. Currently, for both median sternotomy and thoracotomy approaches in open cardiac procedures, fascial plane nerve blocks are largely preferred due to their safety profile in the setting of heparinization, ease of performance, as well as their efficacy in randomized controlled trials (RCT) (Warfield et al. Curr Opin Anaesthesiol 33:692–7, 2020; Adhikary et al. J Cardiothorac Vasc Anesth. 33:1063-7, 2019).

Original languageEnglish (US)
Title of host publicationFirst Aid Perioperative Ultrasound
Subtitle of host publicationAcute Pain Manual for Surgical Procedures
PublisherSpringer International Publishing
Number of pages15
ISBN (Electronic)9783031212918
ISBN (Print)9783031212901
StatePublished - Jan 1 2023

All Science Journal Classification (ASJC) codes

  • General Medicine

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