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Continuous Erector Spinae Plane (ESP) Block for Postoperative Analgesia after Minimally Invasive Mitral Valve Surgery

Published:January 11, 2018DOI:https://doi.org/10.1053/j.jvca.2017.12.020
      THERE IS an increasing trend toward the use of minimally invasive approaches in cardiac surgery.
      • Cuartas M.M.
      • Javadikasgari H.
      • Pfannmueller B.
      • et al.
      Mitral valve repair: Robotic and other minimally invasive approaches.
      Many of these utilize a thoracotomy incision, which is associated with significant acute
      • Rodriguez-Aldrete D.
      • Candiotti K.A.
      • Janakiraman R.
      • et al.
      Trends and new evidence in the management of acute and chronic post-thoracotomy pain - an overview of the literature from 2005 to 2015.
      • Walther T.
      • Falk V.
      • Metz S.
      • et al.
      Pain and quality of life after minimally invasive versus conventional cardiac surgery.
      and chronic pain.
      • Forero M.
      • Adhikary S.D.
      • Lopez H.
      • et al.
      The erector spinae plane block: A novel analgesic technique in thoracic neuropathic pain.
      Regional anesthesia is commonly advocated as part of a multimodal analgesic strategy, but the first-line options of thoracic epidural analgesia and thoracic paravertebral block
      • Rodriguez-Aldrete D.
      • Candiotti K.A.
      • Janakiraman R.
      • et al.
      Trends and new evidence in the management of acute and chronic post-thoracotomy pain - an overview of the literature from 2005 to 2015.
      are not usually feasible in cardiac surgery, where perioperative anticoagulation and hemodynamic instability are commonplace.
      • Rodriguez-Aldrete D.
      • Candiotti K.A.
      • Janakiraman R.
      • et al.
      Trends and new evidence in the management of acute and chronic post-thoracotomy pain - an overview of the literature from 2005 to 2015.

      Key Words

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