Objectives: This study aimed to investigate the effects of
ultrafast channel cardiac anesthesia assisted by serratus anterior plane
block on the post-operative rehabilitation of patients undergoing
right-sided thoracoscopic minimally invasive cardiac surgery, as well as
the safety and feasibility of the clinical application of this
technique. Background: Regional nerve block has previously been
used in cardiac surgery to reduce intraoperative opioid use and promote
anesthesia in fast-track and ultra-fast-track cardiac surgery. However,
the clinical application of ultrafast cardiac anesthesia assisted by
serratus anterior plane block (SAPB) in minimally invasive cardiac
surgery under thoracoscopy has not been reported. Methods: A
total of 102 patients who underwent right-sided thoracoscopic minimally
invasive heart valve surgery in our center from January 2021 to August
2021 were enrolled and divided into two groups: an ultrafast channel
cardiac anesthesia assisted by serratus anterior plane block (SAPB-GA)
group (n=40) and a conventional general anesthesia (GA) group (n=62).
The effects of ultrafast cardiac anesthesia assisted by serratus
anterior plane block (SAPB) on post-operative rapid recovery as well as
the safety and feasibility of its clinical application were compared and
analyzed. Results: Compared to the GA group, the intraoperative
use of sufentanil in the SAPB-GA group was significantly reduced
(66.25±1.025, 283.31±11.362, P<0.001); the incidence of
postoperative analgesia in ICU was significantly decreased (17%,
48.8%, P<0.001); the incidence of postoperative NRS≥3 in ICU
was significantly decreased (15%, 37.1%, P = 0.016); and the
postoperative extubation time (1(1-1), 13.84 (10.25-18.36),
P<0.001), ICU stay time (28.58±2.838, 61.69±4.125,
P<0.001) and postoperative hospital stay (8.08±0.313,
9.74±0.356, P=0.02) were significantly shortened; and the 24 h
postoperative thoracic blood drainage was significantly reduced
(209.63±25.645, 318.23±20.713, P<0.001). No statistical
difference was observed in the incidence of postoperative nausea,
vomiting and atelectasis between the two groups (all
P>0.05). Both of the groups reported no postoperative
cardiovascular events. Conclusions: Ultrafast channel cardiac
anesthesia assisted by SAPB could promote the rapid postoperative
recovery of patients undergoing minimally invasive cardiac surgery under
a thoracoscope. This approach is safe and feasible in the clinic.
Comparison of the single-lumen endotracheal tube and double-lumen endobronchial tube used in minimally invasive cardiac surgery for the fast track protocol
