الفهرس 
CARDIAC SURGERY AND PAINOnly 14 pages are availabe for public view
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Abstract
SUMMARY
C
ardiothoracic surgeries are associated with significant pain. Optimal analgesia is a vital part of strategies intended to improve patients’ experience and outcomes. Traditionally, analgesia in these types of surgeries has depended on large doses of I.V. opioids.
As an alternative, there is a growing appreciation for the critical role that regional anesthesia can play in an overall multimodal anesthetic strategy. Among regional anesthesia, techniques involving an injection of local anesthetic into fascial planes.
Transversus thoracic plaine block (TTPB) are newer ultrasound (US)-guided regional anesthesia techniques of the thorax. The increasing use of ultrasonography to identify tissue layers and, particularly, fascial layers has led to the development of several newer interfascial injection techniques for analgesia of the chest and abdominal wall. For instance, the TTPB I nerve block was devised to anesthetize the anterior chest wall.
The aim of the study was to evaluate the effect of postoperative bilateral US guided TTPB block on postoperative pain control in patients undergoing cardiac surgery through mid-line sternotomy compared to systemic analgesia.
Our study showed that when compared to general anesthesia with systemic opioids, TTPB block is associated with significantly better postoperative pain control.