Email this article The effectiveness of parasternal blockade during coronary artery bypass grafting: a clinical case
- Authors: Dzhopua M.A.1, Avetisian V.A.2, Ezugbaia B.S.2, Gruzdev V.E.1, Koriachkin V.A.3
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Affiliations:
- Lapino-2 Cancer Center
- Ilynskaya Hospital
- Saint Petersburg State Pediatric Medical University
- Issue: Vol 17, No 3 (2023)
- Pages: 199-205
- Section: Case reports
- URL: https://rjraap.com/1993-6508/article/view/529670
- DOI: https://doi.org/10.17816/RA529670
- ID: 529670
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Abstract
BACKGROUND: Regional anesthesia for aortocoronary bypass surgery have shown promise in achieving reduced perioperative pain, need for systemic opioids, and improved surgical outcomes. However, use of neuroaxial anesthesia in cardiac surgery remains controversial due to the lack of studies. Parasternal blockade is a simple, effective technique that can be applied after cardiac surgery.
CLINICAL CASE DESCRIPTION: This is a clinical case presenting the performance of bilateral parasternal blockade in the III–IV intercostal space using the «Single Shot» technique for a patient who underwent aortocoronary bypass surgery. Advantages of this technique are its ease of implementation, safety, and most importantly, effective distribution of local anesthetic in the parasternal interfascial space. This results in blockade of the anterior cutaneous branches of intercostal nerves from T2 to T6 that innervate the surgical area.
CONCLUSION: Parasternal blockade is a technically simple, affordable, and promising method for analgesia after aortocoronary bypass surgery. Multicenter studies are required to further evaluate the efficacy of parasternal blockade postcardiac surgery.
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About the authors
Maksim A. Dzhopua
Lapino-2 Cancer Center
Author for correspondence.
Email: Dzhopua.M.A@yandex.ru
ORCID iD: 0000-0002-9950-2814
SPIN-code: 3945-6170
anesthesiologist-resuscitator
Russian Federation, LapinoVaagn A. Avetisian
Ilynskaya Hospital
Email: vaagnavetisian@gmail.com
ORCID iD: 0000-0001-6555-7369
SPIN-code: 4943-9611
anesthesiologist-resuscitator
Russian Federation, GlukhovoBeka S. Ezugbaia
Ilynskaya Hospital
Email: ezugbaia.b.s@gmail.com
ORCID iD: 0000-0002-0271-4643
SPIN-code: 1713-7653
MD, Cand. Sci. (Med.), anesthesiologist-resuscitator
Russian Federation, GlukhovoVadim E. Gruzdev
Lapino-2 Cancer Center
Email: VadimGru@yandex.ru
ORCID iD: 0000-0002-9454-0002
SPIN-code: 3048-5893
MD, Cand. Sci. (Med.), department head
Russian Federation, LapinoVictor A. Koriachkin
Saint Petersburg State Pediatric Medical University
Email: vakoryachkin@mail.ru
ORCID iD: 0000-0002-3400-8989
SPIN-code: 6101-0578
MD, Dr. Sci. (Med.), Professor
Russian Federation, Saint PetersburgReferences
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