Effect of Ultrasound-guided Superficial Parasternal Intercostal Plane Block on The Quality of Recovery in Patients Undergoing Sternotomy Cardiac Surgery
10.13471/j.cnki.j.sun.yat-sen.univ（med.sci）.2024.0322.001
- VernacularTitle:超声引导浅层胸骨旁肋间平面阻滞对胸骨切开心脏手术患者术后恢复质量的影响
- Author:
Yi LIAO
1
;
Qi LI
1
;
Xiaoe WANG
1
;
Mingying ZHAN
2
;
Li XIAO
1
;
Yu CHEN
1
Author Information
1. Department of Anesthesiology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China
2. Department of Anesthesiology, Guangdong Provincial People's Hospital, Guangzhou 519041, China
- Publication Type:Journal Article
- Keywords:
quality of recovery;
sternotomy cardiac surgery;
superficial parasternal intercostal plane block;
ropivacaine;
postoperative analgesia
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2024;45(2):297-309
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveThis study aims to explore the effect of ultrasound-guided superficial parasternal intercostal plane block on the quality of recovery and postoperative analgesia in patients undergoing sternotomy cardiac surgery. MethodsA total of 64 patients undergoing sternotomy cardiac surgery were selected for this study. They were randomly divided into two groups： one group received a superficial parasternal intercostal plane block with ropivacaine （the ropivacaine group）， while the other was given normal saline （the normal saline group）. The primary outcome was the Quality of Recovery-15 （QoR-15） score on postoperative day 1 in both groups， accompanied by a comparative analysis of the pain score and opioid usage. ResultsCompared with the normal saline group， the ropivacaine group exhibited a significantly higher QoR-15 score on postoperative day 1［（89.60±13.24） vs （81.18±12.78）， P=0.012］. The numerical rating scale at rest was significantly lower［（3.03±0.72） vs （4.26±0.93）， P<0.001］， and the numerical rating scale during coughing was also significantly reduced ［（4.40±0.89） vs （5.44±1.05）， P<0.001］. Concurrently， the cumulative morphine equivalent consumption during the initial 24 h postoperatively was significantly lower in patients who were administered the ropivacaine ［14.15 （4.95～30.00） mg vs 40.50 （19.25～68.18） mg， P=0.002］， and there was also a notable decrease in the rescue analgesia ［0.00 （0.00～0.00） mg vs 0.00 （0.00～100.00） mg， P=0.007］. ConclusionUltrasound-guided superficial parasternal intercostal plane block can significantly enhance the overall quality of recovery in patients undergoing sternotomy cardiac surgery on postoperative day 1. The technique contributes to improved postoperative analgesic effects and a reduction in opioid usage， thereby facilitating early postoperative recovery.
