Cardiothoracic & vascular anesthesia
Multimodal Pain Management Protocol with Anterior Chest Wall Fascial Plane Blocks Significantly Enhanced Recovery After Cardiac Surgery: A Single-Center Retrospective Cohort Study
Authors' conclusion
The ERACS MPM with anterior chest wall blocks was associated with reductions in opioid use, ventilation hours, POAF, and LOS, suggesting improved perioperative outcomes.
Study context
- Population
- Adults undergoing elective cardiac surgery via median sternotomy, university hospital, January 1, 2021, to August 31, 2022
- Participants
- 463 adults
- Exposure
- Pre-ERACS vs Post-ERACS
- Pre-ERACSn = 247reference
- Post-ERACSn = 216
- Outcome
- Intraoperative opioid dose and 48-hour postoperative opioid dose (MME)
Methodological detailssingle-centre, multivariable regression
- Single-centre
- Multivariable regression
Main finding
As reported in the abstract
Intraoperative opioid dose and 48-h postoperative opioid dose (MME)
Intraoperative opioid dose: statistically significant reduction
−0.63
multivariable regression ß; 95% CI −0.72 to −0.54p < 0.0001
Observational data: associations, not effects.
Secondary outcomes
Total postoperative ventilation hours
- Statistically significant reduction
- −0.59 (multivariable regression ß; 95% CI −1.16 to −0.02; p = 0.04)
Hospital length of stay (LOS)
- Statistically significant reduction
- −0.15 (multivariable regression ß; 95% CI, 0.22 to −0.08; p < 0.0001)
Postoperative AF (postoperative atrial fibrillation (POAF))
- Statistically significant reduction
- −0.46 (multivariable regression ß; 95% CI, −0.91 to −0.02; p = 0.04)
Original publication
Multimodal Pain Management Protocol with Anterior Chest Wall Fascial Plane Blocks Significantly Enhanced Recovery After Cardiac Surgery: A Single-Center Retrospective Cohort Study. J Cardiothorac Vasc Anesth. Published 22 June 2025. doi:10.
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