Acute Pain Management Protocol for Cardiac Procedures

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

doi:10.1007/978-3-031-21291-8_27

Acute Pain Management Protocol for Cardiac Procedures

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

Research output: Chapter in Book/Report/Conference proceeding › Chapter

1 Scopus citations

Abstract

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 language	English (US)
Title of host publication	First Aid Perioperative Ultrasound
Subtitle of host publication	Acute Pain Manual for Surgical Procedures
Publisher	Springer International Publishing
Pages	459-473
Number of pages	15
ISBN (Electronic)	9783031212918
ISBN (Print)	9783031212901
DOIs	https://doi.org/10.1007/978-3-031-21291-8_27
State	Published - Jan 1 2023

All Science Journal Classification (ASJC) codes

General Medicine

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10.1007/978-3-031-21291-8_27

Cite this

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title = "Acute Pain Management Protocol for Cardiac Procedures",

abstract = "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).",

author = "Justin Walker and Rushil Bose and Ashley Jordan and Warfield, {Dennis J.}",

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N2 - 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).

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Acute Pain Management Protocol for Cardiac Procedures

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