Cardiothoracic & vascular anesthesia
The Clinical Application of Ultra-Fast-Track Cardiac Anesthesia in Right-Thoracoscopic Minimally Invasive Cardiac Surgery: A Retrospective Observational Study
Authors' conclusion
Serratus anterior plane block-assisted ultra-fast-track cardiac anesthesia can promote rapid postoperative recovery in patients with right-thoracoscopic minimally invasive cardiac surgery.
Study context
- Population
- Adults (ASA I–III, New York Heart Association (NYHA) I–III) undergoing right-thoracoscopic minimally invasive cardiac surgery, single teaching hospital, January–August 2021122 included
- Participants
- 153 adults
- Exposure
- Ultra-fast-track cardiac anesthesia (UFTCA) vs CGA
- UFTCAn = 60
- CGAn = 62reference
- Outcome
- Lengths of hospital stay and postoperative ICU stay
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
UFTCA
27.73
mean · SD 16.54 · hours
CGA
61.69
mean · SD 32.48 · hours
UFTCA
8
range 7–9 · days
CGA
9
range 8–12 · days
UFTCA vs CGA: P < 0.001 · UFTCA vs CGA: P < 0.001
Observational data: associations, not effects.
Secondary outcomes
Intraoperative sufentanil dose
P < 0.001
Intraoperative remifentanil dose
P < 0.001
Postoperative rescue analgesia
P < 0.001
Pain NRS ≥3 in postoperative ICU
P < 0.001
Postoperative extubation time
P < 0.001
Chest tube drainage · 24 hours after surgery
P < 0.001
In-hospital mortality, postoperative bleeding, secondary surgery
- No significant differences between the 2 groups
Safety
Postoperative nausea, vomiting, atelectasis
- Comparable between the 2 groups
Original publication
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