Bilateral Continuous Erector Spinae Plane (ESP) Blockade for Perioperative Opioid-Sparing in Median Sternotomy
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Fecha
2019-06-01Autor(es)
Muñoz-Leyva, FelipeChin, Ki Jinn
Mendiola, Wilman E.
Cubillos, Javier
Moreno, Diego
Zhong-Lin, Carlos
Bonilla-Ramirez, Antonio J.
Autor(es) Corporativo(s)
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Cirugía y Especialidades. Grupo de Investigación de Cirugía y Especialidades
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Anestesiología
Tipo
Artículo de revista
ISSN
053-0770 / 1532-8422 (Electrónico)
Páginas
1698-1703
Tipo de artículo
Reporte de caso
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Citación
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Abstract
MEDIAN STERNOTOMY in cardiac surgery is associated with significant acute postoperative pain. 1 Adequate analgesia is important not only for patient comfort, but for ventilator weaning and prevention of respiratory complications. Opioids are used most commonly to provide analgesia, but they are associated with significant adverse effects that include sedation, respiratory depression, nausea, and vomiting. Thoracic epidural analgesia (TEA) can provide excellent opioid-sparing analgesia following cardiac surgery and is associated with reductions in respiratory complications, arrhythmias, 2 and mortality. 3 However, its use in cardiac surgery continues to be limited by logistical and safety concerns, especially the risk of epidural hematoma.
Enlace al recurso
https://www-clinicalkey-es.ezproxy.javeriana.edu.co/#!/content/journal/1-s2.0-S105307701830380XFuente
Journal of Cardiothoracic and Vascular Anesthesia; Vol. 33 Núm. 6 (2019)
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