{
  "abstract": "Background and Aims Enhanced recovery after surgery protocols aims to improve postoperative patient outcomes through a multimodal approach. Analgesia in cardiac surgery has long been characterized by the administration of large amounts of opioids. However, due to the side-effects of opioids, there has been an increasing interest in opioid sparing anesthesia, like regional anesthetic techniques. Ultrasound guided parasternal block is a fascial plane regional anesthesia technique targeting the anterior branches of intercostal nerves, which supply the anterior thoracic wall.Methods A 68-year old woman was scheduled for aneurysm repair of the thoracic aorta. Immediately after induction of anesthesia an ultrasound-guided parasternal intercostal block was performed bilaterally on the 2th and 4th intercostal space of each side of the chest. 10 ml of Ropivacaine 0,375% was used for each injection. At the end of surgery paracetamol and morphine were administered. The patient was extubated in the operating room and was transferred to the ICU for monitoring .Results The patient remained hemodynamically stable through the surgery and was extubated at the end of surgery. She did not complain of any pain and was alert and oriented. She was transferred to the ICU without vasopressor support, where she was monitored until the next morning .Conclusions Regional anesthesia is a valuable component of ERAS protocols for cardiac surgery. By providing effective analgesia while minimizing opioid use, we can contribute to improved patient outcomes and a faster recovery process.",
  "authors": [
    {
      "affiliations": [
        "Anaesthesiology Department, Papageorgiou General Hospital, Thessaloniki, Greece"
      ],
      "name": "Penelope Sarri-Floridou"
    },
    {
      "affiliations": [
        "Anaesthesiology Department, Papageorgiou General Hospital, Thessaloniki, Greece"
      ],
      "name": "Maria Doumparatzi"
    },
    {
      "affiliations": [
        "Anaesthesiology Department, Papageorgiou General Hospital, Thessaloniki, Greece"
      ],
      "name": "Dimitris Pinas"
    },
    {
      "affiliations": [
        "Anaesthesiology Department, Papageorgiou General Hospital, Thessaloniki, Greece"
      ],
      "name": "Georgia Grenda"
    },
    {
      "affiliations": [
        "Anaesthesiology Department, Papageorgiou General Hospital, Thessaloniki, Greece"
      ],
      "name": "Vaia Tsapara"
    },
    {
      "affiliations": [
        "Anaesthesiology Department, Papageorgiou General Hospital, Thessaloniki, Greece"
      ],
      "name": "Ophilia Papagiannopoulou"
    },
    {
      "affiliations": [
        "Anaesthesiology Department, Papageorgiou General Hospital, Thessaloniki, Greece"
      ],
      "name": "Eleni Koraki"
    }
  ],
  "title": "P232 Perioperative analgesia in cardiac surgery using ultrasound guided parasternal intercostal block; a case report",
  "uid": "abcc1215-e8bd-54c1-b106-5631723b7f7d"
}