Ultrasound-Guided Continuous Bilateral Erector Spinae Plane Blocks Are Associated with Reduced Opioid Consumption and Length of Stay for Open Cardiac Surgery: A Retrospective Cohort Study

This study tested the hypothesis that continuous bilateral erector spinae plane blocks placed preoperatively would reduce opioid consumption and improve outcomes compared with standard practice in open cardiac surgery patients. Patients who received bilateral continuous erector spinae plane blocks f...

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Autores principales:	Brian N. Vaughan, Cheryl L. Bartone, Catherine M. McCarthy, Geoffrey A. Answini, William E. Hurford
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	erector spinae plane block cardiac surgery regional anesthesia acute pain fascial plane block morphine consumption Medicine R
Acceso en línea:	https://doaj.org/article/9f54e3d80e8d419f9648ccf5c05aa900
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spelling	oai:doaj.org-article:9f54e3d80e8d419f9648ccf5c05aa9002021-11-11T17:39:02ZUltrasound-Guided Continuous Bilateral Erector Spinae Plane Blocks Are Associated with Reduced Opioid Consumption and Length of Stay for Open Cardiac Surgery: A Retrospective Cohort Study10.3390/jcm102150222077-0383https://doaj.org/article/9f54e3d80e8d419f9648ccf5c05aa9002021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5022https://doaj.org/toc/2077-0383This study tested the hypothesis that continuous bilateral erector spinae plane blocks placed preoperatively would reduce opioid consumption and improve outcomes compared with standard practice in open cardiac surgery patients. Patients who received bilateral continuous erector spinae plane blocks for primary open coronary bypass, aortic valve, or ascending aortic surgery were compared to a historical control group. Patients in the block group received a 0.5% ropivacaine bolus preoperatively followed by a 0.2% ropivacaine infusion begun postoperatively. No other changes were made to the perioperative care protocol. The primary outcome was opioid consumption. Secondary outcomes were time to extubation and length of stay. Twenty-eight patients received continuous erector spinae plane blocks and fifty patients served as historic controls. Patients who received blocks consumed less opioids, expressed as oral morphine equivalents, both intraoperatively (34 ± 17 vs. 224 ± 125 mg) and during their hospitalization (224 ± 108 vs. 461 ± 185 mg). Patients who received blocks had shorter times to extubation (126 ± 87 vs. 257 ± 188 min) and lengths of stay in the intensive care unit (35 ± 17 vs. 58 ± 42 h) and hospital (5.6 ± 1.6 vs. 7.7 ± 4.6 days). Continuous erector spinae plane blocks placed prior to open cardiac surgical procedures reduced opioid consumption, time to extubation, and length of stay compared to a standard perioperative pathway.Brian N. VaughanCheryl L. BartoneCatherine M. McCarthyGeoffrey A. AnswiniWilliam E. HurfordMDPI AGarticleerector spinae plane blockcardiac surgeryregional anesthesiaacute painfascial plane blockmorphine consumptionMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5022, p 5022 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	erector spinae plane block cardiac surgery regional anesthesia acute pain fascial plane block morphine consumption Medicine R
spellingShingle	erector spinae plane block cardiac surgery regional anesthesia acute pain fascial plane block morphine consumption Medicine R Brian N. Vaughan Cheryl L. Bartone Catherine M. McCarthy Geoffrey A. Answini William E. Hurford Ultrasound-Guided Continuous Bilateral Erector Spinae Plane Blocks Are Associated with Reduced Opioid Consumption and Length of Stay for Open Cardiac Surgery: A Retrospective Cohort Study
description	This study tested the hypothesis that continuous bilateral erector spinae plane blocks placed preoperatively would reduce opioid consumption and improve outcomes compared with standard practice in open cardiac surgery patients. Patients who received bilateral continuous erector spinae plane blocks for primary open coronary bypass, aortic valve, or ascending aortic surgery were compared to a historical control group. Patients in the block group received a 0.5% ropivacaine bolus preoperatively followed by a 0.2% ropivacaine infusion begun postoperatively. No other changes were made to the perioperative care protocol. The primary outcome was opioid consumption. Secondary outcomes were time to extubation and length of stay. Twenty-eight patients received continuous erector spinae plane blocks and fifty patients served as historic controls. Patients who received blocks consumed less opioids, expressed as oral morphine equivalents, both intraoperatively (34 ± 17 vs. 224 ± 125 mg) and during their hospitalization (224 ± 108 vs. 461 ± 185 mg). Patients who received blocks had shorter times to extubation (126 ± 87 vs. 257 ± 188 min) and lengths of stay in the intensive care unit (35 ± 17 vs. 58 ± 42 h) and hospital (5.6 ± 1.6 vs. 7.7 ± 4.6 days). Continuous erector spinae plane blocks placed prior to open cardiac surgical procedures reduced opioid consumption, time to extubation, and length of stay compared to a standard perioperative pathway.
format	article
author	Brian N. Vaughan Cheryl L. Bartone Catherine M. McCarthy Geoffrey A. Answini William E. Hurford
author_facet	Brian N. Vaughan Cheryl L. Bartone Catherine M. McCarthy Geoffrey A. Answini William E. Hurford
author_sort	Brian N. Vaughan
title	Ultrasound-Guided Continuous Bilateral Erector Spinae Plane Blocks Are Associated with Reduced Opioid Consumption and Length of Stay for Open Cardiac Surgery: A Retrospective Cohort Study
title_short	Ultrasound-Guided Continuous Bilateral Erector Spinae Plane Blocks Are Associated with Reduced Opioid Consumption and Length of Stay for Open Cardiac Surgery: A Retrospective Cohort Study
title_full	Ultrasound-Guided Continuous Bilateral Erector Spinae Plane Blocks Are Associated with Reduced Opioid Consumption and Length of Stay for Open Cardiac Surgery: A Retrospective Cohort Study
title_fullStr	Ultrasound-Guided Continuous Bilateral Erector Spinae Plane Blocks Are Associated with Reduced Opioid Consumption and Length of Stay for Open Cardiac Surgery: A Retrospective Cohort Study
title_full_unstemmed	Ultrasound-Guided Continuous Bilateral Erector Spinae Plane Blocks Are Associated with Reduced Opioid Consumption and Length of Stay for Open Cardiac Surgery: A Retrospective Cohort Study
title_sort	ultrasound-guided continuous bilateral erector spinae plane blocks are associated with reduced opioid consumption and length of stay for open cardiac surgery: a retrospective cohort study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/9f54e3d80e8d419f9648ccf5c05aa900
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Ultrasound-Guided Continuous Bilateral Erector Spinae Plane Blocks Are Associated with Reduced Opioid Consumption and Length of Stay for Open Cardiac Surgery: A Retrospective Cohort Study

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