| Autor: |
Raj Sahajanandan, A V Varsha, D Sathish Kumar, Balaji Kuppusamy, Sathappan Karuppiah, Vinayak Shukla, Roy Thankachen |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
Annals of Cardiac Anaesthesia, Vol 24, Iss 1, Pp 24-29 (2021) |
| Druh dokumentu: |
article |
| ISSN: |
0971-9784 |
| DOI: |
10.4103/aca.ACA_83_19 |
| Popis: |
Introduction: Fast tracking plays a crucial role in reducing perioperative morbidity and financial burden by facilitating early extubation and discharge from hospital. Paravertebral block (PVB) is becoming more popular in paediatric surgeries as an alternative to epidural and caudal analgesia. There is scarcity of data regarding the efficacy and safety of PVB in paediatric cardiac surgery. Methods: We performed a review of records of paediatric cardiac patients who underwent cardiac surgery under general anaesthesia with single shot PVB and compared the analgesia and postoperative outcomes with matched historical controls who underwent cardiac surgery with same anaesthesia protocol without PVB. Results: The data from 200 children were analysed. 100 children who received paravertebral block were compared with a matched historical controls. The median time to extubation was shorter in the PVB group (0 hr, IQR 0-3 hrs) compared to the control group (16 hrs, IQR 4-20 hrs) (P value 0.017*). Intraoperative and postoperative fentanyl requirement was much lower in the PVB group (3.49 (0.91)) compared to the control group (9.86 (1.37)) P value |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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