Premium
Bilateral paravertebral blockade for conventional cardiac surgery
Author(s) -
Cantó M.,
Sánchez M. J.,
Casas M. A.,
Bataller M. L.
Publication year - 2003
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1046/j.1365-2044.2003.03082_2.x
Subject(s) - medicine , ropivacaine , anesthesia , fentanyl , surgery , hemodynamics , intensive care unit , blockade , neuromuscular blockade , complication , general anaesthesia , bupivacaine , receptor
Summary This prospective observational study aimed to assess the feasibility and efficacy of bilateral continuous paravertebral blockade combined with general anaesthesia in ‘on‐pump’ cardiac surgery. One hundred and eleven elective patients had two paravertebral catheters inserted: one either side of the midline within 2.5 cm of the spinous process of the third or fourth thoracic vertebrae, through which a mixture of ropivacaine and fentanyl was infused during and after surgery. In the first 47 patients, haemodynamic and analgesia data were recorded. In all patients, time to tracheal extubation, length of stay in the intensive care unit and the hospital, morbidity and mortality, and any complication attributable to the regional blockade were recorded. The technique was associated with good haemodynamic stability, good postoperative analgesia and short times to tracheal extubation, with few significant complications.