Volume 20 Issue 2
Feb.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(2): 216-219
LIU Lei, LI Hai-hui, FENG Tao, WU Zhang, TAO Jing, LIANG Qi-sheng. Effects of thoracic paravertebral nerve block on hemodynamics during induction of anesthesia and postoperative recovery in patients undergoing coronary artery bypass grafting[J]. Chinese Journal of General Practice, 2022, 20(2): 216-219. doi: 10.16766/j.cnki.issn.1674-4152.002316
Citation: LIU Lei, LI Hai-hui, FENG Tao, WU Zhang, TAO Jing, LIANG Qi-sheng. Effects of thoracic paravertebral nerve block on hemodynamics during induction of anesthesia and postoperative recovery in patients undergoing coronary artery bypass grafting[J]. Chinese Journal of General Practice, 2022, 20(2): 216-219. doi: 10.16766/j.cnki.issn.1674-4152.002316
shu

Effects of thoracic paravertebral nerve block on hemodynamics during induction of anesthesia and postoperative recovery in patients undergoing coronary artery bypass grafting

doi: 10.16766/j.cnki.issn.1674-4152.002316
  • 1.

    Department of Anesthesiology, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

 KJ2019A0362

  • Received Date: 2021-09-18
    Available Online: 2022-03-04
    Abstract
  •   Objective  To investigate the effects of thoracic paravertebral nerve block (TPVB) on hemodynamics during induction of anesthesia and postoperative recovery in patients undergoing coronary artery bypass grafting (CABG).  Methods  Fifty patients were selected for elective CABG at the First Affiliated Hospital of Bengbu Medical College from August 2020 to August 2021. The patients were divided into two groups using the random number table method: TPVB combined with general anesthesia group (group P) and conventional general anesthesia group (group G), each group contained 25 patients. The mean arterial pressure (MAP) and heart rate (HR) before induction of anesthesia (T0), before tracheal intubation (T1), immediately after tracheal intubation (T2), 1 min (T3) and 5 min (T4) after tracheal intubation, intraoperative sufentanil dosage, postoperative mechanical ventilation time, the visual analogue scale (VAS) scores after extubation, 12 and 24 h postoperatively, 24 h postoperative remedial analgesia cases, length of stay in the cardiac surgical intensive care unit (CSICU), postoperative hospital stay, and postoperative adverse effects were all recorded and analyzed accordingly.  Results  MAP at T2-T4 in group P were (74.84±10.05) mm Hg (1 mm Hg = 0.133 kPa), (74.96±10.03) mm Hg, (74.72±9.18) mm Hg, which were lower than those of group G [(85.08±10.57) mm Hg, (89.16±10.00) mm Hg, (81.04±8.92)mm Hg, all P < 0.05]; HR at T2-T4 in group P were lower than those in group G (all P < 0.05). Intraoperative sufentanil dosage, postoperative mechanical ventilation time, and length of stay in the CSICU in the group P were less than those in group G (all P < 0.05). The VAS scores at all postoperative time points in the group P were lower than those in the group G (all P < 0.05). The number of cases of remedial analgesia at 24 h postoperatively in the group P was less than that in the group G (P < 0.05). There was no statistically significant difference in the incidence of nausea and vomiting and pulmonary infection between the two groups (all P > 0.05).  Conclusion  TPVB can maintain stable hemodynamics during the induction period of anesthesia in patients undergoing coronary artery bypass grafting. It also alleviates postoperative pain, reduces the amount of analgesic drugs, and facilitates the early postoperative recovery of patients.

     

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