The Analgesic Efficacy of Local Anesthetics for the Incisional Administration following Port Access Heart Surgery: Bupivacaine versus Ropivacaine

Objective: to assess the analgesic efficacy of subcutaneous lidocaine and multimodal analgesia for chest tube removal following heart surgery. Methods: sixty volunteers were randomly allocated in two groups; 30 participants in the experimental group were given 1% subcutaneous lidocaine, and 30 controls were given a multimodal analgesia regime comprising systemic anti-inflammatory agents and opioids. The intensity and quality of pain and trait and state anxiety were assessed. The association between independent variables and final outcome was assessed by means of the Chi-squared test with Yates' correction and Fisher's exact test. Results: the groups did not exhibit significant difference with respect to the intensity of pain upon chest tube removal (p= 0.47). The most frequent descriptors of pain reported by the participants were pressing, sharp, pricking, burning and unbearable. Conclusion: the present study suggests that the analgesic effect of the subcutaneous administration of 1% lidocaine combined with multimodal analgesia is most efficacious.

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Postoperative analgesic efficacy of continuous wound infusion with local anesthetics after laparoscopy (PAIN): a randomized, double-blind, placebo-controlled trial

Surgical Endoscopy ◽

10.1007/s00464-020-07416-8 ◽

2020 ◽

Author(s):

Nae Hyun Lee ◽

Kyoungho Ryu ◽

Taejong Song

Keyword(s):

Local Anesthetics ◽

Controlled Trial ◽

Analgesic Efficacy ◽

Double Blind ◽

Double Blind Placebo

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Edwards EndoVent as a Pacing Catheter for Minimally Invasive Aortic Valve Surgery a Novel Approach

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1097/imi.0b013e31822c9f88 ◽

2011 ◽

Vol 6 (4) ◽

pp. 253-256 ◽

Cited By ~ 2

Author(s):

Jonathan L. Kraidin ◽

Enrique J. Pantin ◽

Mark B. Anderson ◽

Bo-Lu Zhou ◽

Alann R. Solina

Keyword(s):

Aortic Valve ◽

Minimally Invasive ◽

Heart Surgery ◽

Effective Means ◽

Threshold Current ◽

Pacing Threshold ◽

Novel Approach ◽

Port Access ◽

The Right ◽

Access Surgery

Objective The placement of epicardial pacing wires before weaning from bypass during port-access heart surgery can be difficult or impossible. Sometimes, it is necessary to pacing the patient to wean from bypass, and it is problematic to exchange the Edwards pulmonary vent (EndoVent) for a pace catheter under the drapes. Our objective was to devise an effective means of pacing the patient using the pulmonary vent catheter. Methods All patients having aortic valve minimally invasive port-access surgery have a pacing wire deployed through the Edwards EndoVent catheter. We did a retrospective chart analysis of these cases. Results After reviewing the anesthesia records, we determined that we were able to reliably convert the pulmonary vent catheter, which is beneficial for the surgery, into a pacing catheter before weaning from bypass 100% of the time. The mean pacing threshold current was 1.60 mA with the wire in the right ventricular apex. Conclusions We found that in all 25 patients we were able to rapidly convert the vent catheter into a reliable pacing catheter without any complications.

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