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Awake cardiac surgery using the novel Pectoralis-Intercostal-Rectus Sheath (PIRS) Plane Block and Subxiphoid approach
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  • Antonio Toscano,
  • Eleonora Balzani,
  • Paolo Capuano,
  • Vaninetti Anna,
  • Perrucci Chiara,
  • Erika Simonato,
  • Mauro Rinaldi,
  • Luca Brazzi
Antonio Toscano
Azienda Ospedaliero Universitaria Citta della Salute e della Scienza di Torino
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Eleonora Balzani
International University College of Turin
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Paolo Capuano
Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione
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Vaninetti Anna
International University College of Turin
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Perrucci Chiara
International University College of Turin
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Erika Simonato
Azienda Ospedaliero Universitaria Citta della Salute e della Scienza di Torino
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Mauro Rinaldi
Azienda Ospedaliero Universitaria Citta della Salute e della Scienza di Torino
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Luca Brazzi
Azienda Ospedaliero Universitaria Citta della Salute e della Scienza di Torino
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Abstract

BACKGROUND Postoperative pain after cardiac surgery is a very important issue and affects recovery, risk of postoperative complications and quality of life. The pain management has been traditionally based on intravenous opioids with growing evidence suggesting the use of opioid-free and opioid-sparing techniques to reduce its adverse effects. CASE PRESENTATION We report the case of a 75-years-old frail patient underwent awake mediastinal revision with subxiphoid access due to deep sternal wound infection using a Pectoralis-Intercostal Rectus Sheath (PIRS) plane block. During the procedure the patient never reported pain receiving acetaminophen 1 g every 8 hours for postoperative pain management without others pain relievers. CONCLUSION Ultrasound guided PIRS block could be an effective and safe analgesic technique to manage sternal and subxiphoid drainage pain in patients undergoing cardiac surgery via subxiphoid approach.
14 May 2022Submitted to Journal of Cardiac Surgery
14 May 2022Assigned to Editor
14 May 2022Submission Checks Completed
14 May 2022Reviewer(s) Assigned