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    Implementation of Bilateral Rectus Sheath Blocks in Conjunction With Transversus Thoracis Plane and Pectointercostal Fascial Blocks for Immediate Postoperative Analgesia After Cardiac Surgery.

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    Author
    Everett, Lauren
    Davis, TomMario A
    Deshpande, Seema P
    Mondal, Samhati
    Date
    2022-07-05
    Journal
    Cureus
    Publisher
    Cureus, Inc.
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.7759/cureus.26592
    Abstract
    Pain continues to be a well-known complication of cardiac surgery in the postoperative period and intravenous opioid analgesia has traditionally been employed to manage cardiac surgical pain. However, both components have contributed to a multitude of undesirable adverse effects which can further exacerbate delays in recovery. Often overlooked in the analgesic plan, chest tube pain contributes significantly to the overall postoperative pain from cardiac surgery. Novel regional anesthetic blocks have shown great promise as analgesic adjuncts for cardiothoracic anesthesia but preliminary investigations focus primarily on management of sternotomy pain. Reduction of chest tube pain should be considered while implementing regional blocks to control surgical pain. This study presents a case where the rectus sheath block minimized chest tube pain after aortic valve replacement in conjunction with intercostal nerve blocks and a multimodal analgesic plan.
    Rights/Terms
    Copyright © 2022, Everett et al.
    Keyword
    adult cardiac surgery
    chest tube
    multimodality pain management
    postoperative pain relief
    rectus sheath block
    ultrasound-guided regional anesthesia
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/19543
    ae974a485f413a2113503eed53cd6c53
    10.7759/cureus.26592
    Scopus Count
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