Clinical Benefits of Parasternal Block with Multihole Catheters when Inserted before Sternotomy

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dc.contributor.authorEljezi, Vedaten_US
dc.contributor.authorJallas, Crispinen_US
dc.contributor.authorPereira, Brunoen_US
dc.contributor.authorChasteloux, Melanieen_US
dc.contributor.authorDualé, Christianen_US
dc.contributor.authorCamilleri, Lionelen_US
dc.date.accessioned2025-06-18T10:05:35Z
dc.date.available2025-06-18T10:05:35Z
dc.date.issued2025-03
dc.description.abstractBackground: The aim of this study was to assess whether parasternal block with multihole catheters inserted before surgical incision enables to alleviate postoperative analgesia and opioid reduction in cardiac surgery patients with sternotomy. Methods: Twenty?six adult patients scheduled for cardiac surgery with sternotomy aged between 18 and 84 olds were included in this prospective, monocentric, open, single?group trial. Two parasternal multihole catheters were inserted on each side of the sternum before the surgical skin incision for cardiac surgery and 10 mL of ropivacaine 7.5 mg mL–1 was initially administered in each catheter. Local anesthetic administration followed by continued infusion at 3 mL hr–1 of ropivacaine 2 mg mL–1 per catheter for 48 h postoperatively upon patient arrival in the intensive care unit. The efficacy of the parasternal block was assessed according to a composite endpoint including pain score at rest, pain score during movements (dynamic pain), and morphine consumption over 48 hours. Results: The treatment failed in 11 patients and was considered effective in 15 patients. Sixteen patients out of 26 had a sternal pain score ??3/10 on more than 75% of observations, and the treatment was considered successful. In 23/26 patients (88%), the mean pain score at cough was ??3.5/10 and the treatment was considered successful. Morphine consumption over 48 h was significantly lower in the intervention group compared to the control group 7 mg [6; 21] versus 142 mg [116; 176] ( P < 0.001). Conclusions: Parasternal block with multihole catheters inserted before the surgical incision is an effective technique for postoperative analgesia and opioid reduction.en_US
dc.identifier.affiliationsDepartment of Perioperative Medicine, CHU Gabriel-Montpied, Rue Montalembert, BP 69, 63003 Clermont-Ferrand, Franceen_US
dc.identifier.affiliationsDepartement of Anaesthesia, Hôspital Femme Mère Enfant, 59 Boulevard Pinel, 69500 Bron, Franceen_US
dc.identifier.affiliationsBiostatistics Unit, CHU Gabriel Montpied, Rue Montalembert, BP 69, 63003 Clermont-Ferrand, Franceen_US
dc.identifier.affiliationsDepartment of Perioperative Medicine, CHU Gabriel-Montpied, Rue Montalembert, BP 69, 63003 Clermont-Ferrand, Franceen_US
dc.identifier.affiliationsCentre d’Investigation Clinique (INSERM CIC 501), CHU de Clermont-Ferrand, Rue Montalembert, BP 69, 63003, Clermont-Ferrand, Franceen_US
dc.identifier.affiliationsDepartment of Cardiovascular Surgery, CHU Gabriel Montpied, Rue Montalembert, BP 69, 63003 Clermont-Ferrand, Franceen_US
dc.identifier.citationEljezi Vedat, Jallas Crispin, Pereira Bruno, Chasteloux Melanie, Dualé Christian, Camilleri Lionel.Clinical Benefits of Parasternal Block with Multihole Catheters when Inserted before Sternotomy.Annals of Cardiac Anaesthesia.2025 Mar;28(1):39-45en_US
dc.identifier.issn0971-9784
dc.identifier.issn0974-5181
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/247984
dc.languageenen_US
dc.publisherWolters Kluwer – Medknowen_US
dc.relation.issuenumber1en_US
dc.relation.volume28en_US
dc.source.urihttps://doi.org/10.4103/aca.aca_110_24en_US
dc.subjectCardiac surgeryen_US
dc.subjectpainen_US
dc.subjectpostoperativeen_US
dc.subjectpostoperative analgesiaen_US
dc.subjectregional anesthesiaen_US
dc.subjectsternotomyen_US
dc.titleClinical Benefits of Parasternal Block with Multihole Catheters when Inserted before Sternotomyen_US
dc.typeJournal Articleen_US
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