Pectoral Fascial Plane Versus Paravertebral Blocks for Minimally Invasive Mitral Valve Surgery Analgesia
Authors' conclusion
The PECS II block is a safe and highly effective option for regional analgesia for robotic mitral valve surgery, with demonstrated efficacy comparable to the paravertebral block.
Study context
- Population
- Adults (age ≥18) undergoing elective robotic mitral valve repair, large quaternary referral center, January 1, 2016, to August 14, 2020
- Participants
- 123 vs 190
- Exposure
- Single-injection PECS II block vs paravertebral block
- PECS IIn = 123
- Paravertebraln = 190reference
- Outcome
- Average postoperative pain scores and cumulative opioid use
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Postoperative opioid use and pain scores
- Significantly fewer opioids in the immediate postoperative period with PECS II vs paravertebral
- Comparable postoperative pain scores
Observational data: associations, not effects.
Safety
- No increase in adverse outcomes in either group
Original publication
Pectoral Fascial Plane Versus Paravertebral Blocks for Minimally Invasive Mitral Valve Surgery Analgesia. J Cardiothorac Vasc Anesth. Published 11 February 2023. doi:10.
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