Parasternal intercostal plane block catheters for cardiac surgery: a retrospective, propensity weighted, cohort study.

Abstract

Aim: Anesthesia for cardiac surgery has evolved toward fast-track recovery strategies incorporating nonopioid analgesics and regional anesthesia. Materials & methods: This retrospective cohort study compared opioid consumption, pain scoresand length of stay in patients who underwent cardiac surgery via median sternotomy and did or did not receive preoperative parasternal intercostal plane block catheters with postoperative ropivacaine infusions. Results: Postoperative opioid consumption and postoperative pain scores did not differ. Blocks were associated with decreased intraoperative opioids and reduced length of stay in the intensive care unit and hospital. Conclusion: Parasternal intercostal plane block catheters were not associated with decreased postoperative opioid consumption or pain scores, but were associated with reduced intraoperative opioids and length of stay.