Using the blockade of interfascial space of the erector spinae muscle (erector spinae plane block) in minimally invasive coronary bypass surgery: prospective randomized study
- 作者: Stukalov A.1, Lakhin R.1, Garbuzov E.2, Ershov E.1, Stukalov N.1
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隶属关系:
- Kirov Military Medical Academy
- City Hospital No. 40
- 期: 卷 16, 编号 4 (2022)
- 页面: 289-302
- 栏目: Original articles
- URL: https://journals.rcsi.science/1993-6508/article/view/131774
- DOI: https://doi.org/10.17816/RA111806
- ID: 131774
如何引用文章
详细
BACKGROUND: Despite the successful development of cardio-anesthesiology, no consensus exists on the preferred anesthesia method for coronary artery bypass grafting.
OBJECTIVE: To evaluate the effectiveness of perioperative analgesia in minimally invasive coronary artery bypass surgery (MIDCAB) using ultrasound-assisted blockade in erector spinae plane (ESP).
MATERIALS AND METHODS: A prospective, two-center, randomized study included 37 patients who underwent MIDCAB surgery. In group 1, before the induction of general anesthesia, an ESP block was performed; in group 2, the operation was performed only under general anesthesia.
RESULTS: The consumption of fentanyl for anesthesia differed in groups 1 (ESP block) and 2 (general anesthesia): 0.9 (0.8; 1.0) mg vs 3.0 (2.6; 3.2) mg (p <0.01). The norepinephrine dosage was higher in group 2 than in group 1: 0.18 (0.16; 0.22) mcg/kg/min vs 0.05 (0.04; 0.06) mcg/kg/min (p <0.01). Postoperatively, the pain score was lower in group 1 than in group 2, and no additional opioids were required during the first 3–4 h after extubation. Thereafter, no differences in pain scores were observed between the groups.
CONCLUSION: The use of an ESP block with a single injection of a local anesthetic is effective in reducing the total dosage of fentanyl used during surgery, dosage of norepinephrine, and mechanical ventilation and improve the quality of postoperative analgesia during MIDCAB.
作者简介
Anatoliy Stukalov
Kirov Military Medical Academy
编辑信件的主要联系方式.
Email: zamkom-vma@mail.ru
ORCID iD: 0000-0002-3869-9043
SPIN 代码: 9636-6856
researcher
俄罗斯联邦, St. PetersburgRoman Lakhin
Kirov Military Medical Academy
Email: zamkom-vma@mail.ru
ORCID iD: 0000-0001-6819-9691
SPIN 代码: 7261-9985
MD, Dr. Sci. (Med.), associate professor
俄罗斯联邦, St. PetersburgEvgenii Garbuzov
City Hospital No. 40
Email: zamkom-vma@mail.ru
ORCID iD: 0000-0003-2990-0320
department head, anesthesiologist-resuscitator
俄罗斯联邦, St. PetersburgEugene Ershov
Kirov Military Medical Academy
Email: zamkom-vma@mail.ru
ORCID iD: 0000-0002-9572-6802
SPIN 代码: 1837-5183
MD, Cand. Sci. (Med.)
俄罗斯联邦, St. PetersburgNikolay Stukalov
Kirov Military Medical Academy
Email: zamkom-vma@mail.ru
ORCID iD: 0000-0001-7928-2132
SPIN 代码: 9213-4640
clinical resident
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