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• W4377015865 abstract "Postoperative pain control remains an issue for patients undergoing S-ICD implantation. In addition, in the current opioid epidemic, eliminating the need for postoperative opioid prescription remains paramount. The aim of the study was to investigate the effect of transversus parasternal interfascial plane (PIP) & serratus plane block (SPB) on patient pain scores & conscious sedation dosages in patients undergoing S-ICD placement. 22 patients undergoing S-ICD implantation with conscious sedation were randomized to receive PIP & SPB (Blk) versus No Block (NB) performed by two nurse anesthetists. Blk pts received lidocaine 2% 2 ml infiltration at each site, ultrasound-guided PIP block with Bupivacaine 0.25% 30 ml, Decadron 2 mg, and Buprenorphine 150 mcg, and a SPB with Ropivacaine 0.5% 30 ml, Decadron 2mg, and Buprenorphine 150 mcg. NB pts received Lidocaine 2% 2 ml infiltration at each site and normal saline 10ml at both the PIP and the SPB. Implanting MD (two operators), sedating nurses, and patients were blinded to each arm. All patients were discharged the same day on ibuprofen alternating with acetaminophen for 96 hrs. Numeric rating scale (NRS) scores (range 0-10) at discharge (DC) and 72 hr post DC were assessed and quantification of conscious sedation dosages were recorded. 13 patients underwent S-ICD implantation using the two incision technique & 9 patients underwent the three incision technique. 11 Blk patients (age 56+13 yrs, wt 213+44 lbs, 6/5 NICM/ICM, LVEF 29+10) & 11 NB patients (age 61+10 yrs, wt 209+53 lbs, 4/7 NICM/ICM, LVEF 32+9) were enrolled. At DC, 2/11 (18%) Blk patients had pain (total score 3/avg score 1.5) vs 9/11 (82%) NB patients w pain (total score 42/avg score 4.6) p<0.005. At 72 hrs post DC, both 8/11 (73%) Blk patients (total score 33/avg score 4.2) & 8/11 (73%) NB patients had pain (total score 40/avg score 4.4) p=NS. Blk patients required less intraoperative sedation compared to the NB pts. See Table. No complications were observed in either group. No difference in DFTs were noted. Ultrasound-guided PIP & SPB resulted in a lower pain scores at same-day discharge and the need for less conscious sedation compared with local anesthesia in patients undergoing S-ICD implantation." @default.
• W4377015865 created "2023-05-19" @default.
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• W4377015865 date "2023-05-01" @default.
• W4377015865 modified "2023-09-27" @default.
• W4377015865 title "PO-05-051 PARASTERNAL & SERRATUS PLANE BLOCK FOR POSTOPERATIVE PAIN MANAGEMENT DURING SUBCUTANEOUS IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (S-ICD) IMPLANTATION: A TRIPLE BLINDED PROSPECTIVE RANDOMIZED CONTROL TRIAL." @default.
• W4377015865 doi "https://doi.org/10.1016/j.hrthm.2023.03.1479" @default.
• W4377015865 hasPublicationYear "2023" @default.
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