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Regional analgesia of the anterior thorax in cardiac surgery. Case series.

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Title: Regional analgesia of the anterior thorax in cardiac surgery. Case series.
Alternate Title: Analgesia regional del tórax anterior en cirugía cardiaca. Serie de casos.
Authors: Otálora Sánchez, Valeria1 votalora75@javerianacali.edu.co, Pabón Henao, Tatiana1, Caicedo Borrero, Diana María2, Varona Marmolej, Mario Andrés3,4, Enríquez Obando, Luis Eduardo3,4
Source: Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología. Apr-Jun2026, Vol. 54 Issue 2, p1-7. 7p.
Subjects: NERVE block, POSTOPERATIVE pain treatment, DRUG administration, CONDUCTION anesthesia, CARDIAC surgery, CHEST (Anatomy), INTENSIVE care units
Abstract (English): Introduction: Postoperative pain relief is essential in anesthetic practice. Regional analgesia is an emerging tool, and its performance has drawn interest among the cardiac surgical population. Objective: To describe the benefits and safety of regional analgesia of the anterior thorax in cardiac surgery. Methods: A case series study including records of adult patients undergoing cardiac surgery between July 1, 2024, and January 31, 2025, who received superficial parasternal intercostal plane block (SPIPB) or interpectoral/pectoserratus block (PECS II). Postoperative opioid requirements during the first 48 hours, time to extubation, and length of stay in the intensive care unit (ICU) were described. Results: Data from 60 patients were included, of whom 88.3% received SPIPB and 11.7% PECS II. The median ICU stay was three days, and extubation occurred at 180 minutes. Hydromorphone consumption was 0.1, 0.4, 0.7, and 0.8 mg at 6, 12, 24, and 48 hours, respectively. Hydromorphone consumption was higher in overweight and obese patients. Forty-two patients had extracorporeal circulation times under 90 minutes and were extubated within six postoperative hours. Postoperative complications were rare, with none related to regional analgesia. Conclusions: Anterior thoracic wall blocks tend to reduce postoperative opioid requirements and may contribute to early extubation and ICU discharge in line with ERAS and Fast Track protocols. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: El alivio del dolor posoperatorio es fundamental en la práctica anestésica. La analgesia regional es una herramienta en auge y su desempeño ha sido objeto de interés en la población quirúrgica cardiaca. Objetivo: Describir los beneficios y seguridad de la analgesia regional del tórax anterior en cirugía cardiaca. Métodos: Estudio tipo serie de casos, que incluyó los registros de pacientes adultos sometidos a cirugía cardiaca, entre el 1 de julio 2024 y el 31 de enero 2025, que recibieron bloqueo del plano intercostal paraesternal superficial (BIPS) o bloqueo interpectoral/pectoserrato (PECS II). Se describieron los requerimientos posoperatorios de opioides en las primeras 48 horas, el tiempo requerido para extubación y la duración de estancia en unidad de cuidados intensivos (UCI). Resultados: Se incluyó la información y registros de 60 pacientes de los cuales un 88,3 % recibieron BIPS y 11,7 % PECS II. La mediana de estancia en UCI fue de tres días y la extubación de 180 minutos. El consumo de hidromorfona fue de 0,1, 0,4, 0,7 y 0,8 mg a las 6, 12, 24 y 48 horas respectivamente. Hubo mayor consumo de hidromorfona en los pacientes con sobrepeso y obesidad. Cuarenta y dos pacientes presentaron un tiempo de circulación extracorpórea menor a 90 minutos y fueron extubados en menos de seis horas posoperatorias. Las complicaciones posoperatorias fueron escasas, ninguna relacionada con la analgesia regional. Conclusiones: Los bloqueos de pared torácica anterior tienden a disminuir los requerimientos de opioides posoperatorios, pueden además contribuir a extubaciones y salida de UCI tempranas en correspondencia con protocolos ERAS y Fast Track. [ABSTRACT FROM AUTHOR]
Copyright of Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología is the property of Sociedad Colombiana de Anestesiologia y Reanimacion and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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  Data: Regional analgesia of the anterior thorax in cardiac surgery. Case series.
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  Data: Analgesia regional del tórax anterior en cirugía cardiaca. Serie de casos.
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  Data: <searchLink fieldCode="AR" term="%22Otálora+Sánchez%2C+Valeria%22">Otálora Sánchez, Valeria</searchLink><relatesTo>1</relatesTo><i> votalora75@javerianacali.edu.co</i><br /><searchLink fieldCode="AR" term="%22Pabón+Henao%2C+Tatiana%22">Pabón Henao, Tatiana</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Caicedo+Borrero%2C+Diana+María%22">Caicedo Borrero, Diana María</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Varona+Marmolej%2C+Mario+Andrés%22">Varona Marmolej, Mario Andrés</searchLink><relatesTo>3,4</relatesTo><br /><searchLink fieldCode="AR" term="%22Enríquez+Obando%2C+Luis+Eduardo%22">Enríquez Obando, Luis Eduardo</searchLink><relatesTo>3,4</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Colombian+Journal+of+Anesthesiology+%2F+Revista+Colombiana+de+Anestesiología%22">Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología</searchLink>. Apr-Jun2026, Vol. 54 Issue 2, p1-7. 7p.
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  Data: <searchLink fieldCode="DE" term="%22NERVE+block%22">NERVE block</searchLink><br /><searchLink fieldCode="DE" term="%22POSTOPERATIVE+pain+treatment%22">POSTOPERATIVE pain treatment</searchLink><br /><searchLink fieldCode="DE" term="%22DRUG+administration%22">DRUG administration</searchLink><br /><searchLink fieldCode="DE" term="%22CONDUCTION+anesthesia%22">CONDUCTION anesthesia</searchLink><br /><searchLink fieldCode="DE" term="%22CARDIAC+surgery%22">CARDIAC surgery</searchLink><br /><searchLink fieldCode="DE" term="%22CHEST+%28Anatomy%29%22">CHEST (Anatomy)</searchLink><br /><searchLink fieldCode="DE" term="%22INTENSIVE+care+units%22">INTENSIVE care units</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Introduction: Postoperative pain relief is essential in anesthetic practice. Regional analgesia is an emerging tool, and its performance has drawn interest among the cardiac surgical population. Objective: To describe the benefits and safety of regional analgesia of the anterior thorax in cardiac surgery. Methods: A case series study including records of adult patients undergoing cardiac surgery between July 1, 2024, and January 31, 2025, who received superficial parasternal intercostal plane block (SPIPB) or interpectoral/pectoserratus block (PECS II). Postoperative opioid requirements during the first 48 hours, time to extubation, and length of stay in the intensive care unit (ICU) were described. Results: Data from 60 patients were included, of whom 88.3% received SPIPB and 11.7% PECS II. The median ICU stay was three days, and extubation occurred at 180 minutes. Hydromorphone consumption was 0.1, 0.4, 0.7, and 0.8 mg at 6, 12, 24, and 48 hours, respectively. Hydromorphone consumption was higher in overweight and obese patients. Forty-two patients had extracorporeal circulation times under 90 minutes and were extubated within six postoperative hours. Postoperative complications were rare, with none related to regional analgesia. Conclusions: Anterior thoracic wall blocks tend to reduce postoperative opioid requirements and may contribute to early extubation and ICU discharge in line with ERAS and Fast Track protocols. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducción: El alivio del dolor posoperatorio es fundamental en la práctica anestésica. La analgesia regional es una herramienta en auge y su desempeño ha sido objeto de interés en la población quirúrgica cardiaca. Objetivo: Describir los beneficios y seguridad de la analgesia regional del tórax anterior en cirugía cardiaca. Métodos: Estudio tipo serie de casos, que incluyó los registros de pacientes adultos sometidos a cirugía cardiaca, entre el 1 de julio 2024 y el 31 de enero 2025, que recibieron bloqueo del plano intercostal paraesternal superficial (BIPS) o bloqueo interpectoral/pectoserrato (PECS II). Se describieron los requerimientos posoperatorios de opioides en las primeras 48 horas, el tiempo requerido para extubación y la duración de estancia en unidad de cuidados intensivos (UCI). Resultados: Se incluyó la información y registros de 60 pacientes de los cuales un 88,3 % recibieron BIPS y 11,7 % PECS II. La mediana de estancia en UCI fue de tres días y la extubación de 180 minutos. El consumo de hidromorfona fue de 0,1, 0,4, 0,7 y 0,8 mg a las 6, 12, 24 y 48 horas respectivamente. Hubo mayor consumo de hidromorfona en los pacientes con sobrepeso y obesidad. Cuarenta y dos pacientes presentaron un tiempo de circulación extracorpórea menor a 90 minutos y fueron extubados en menos de seis horas posoperatorias. Las complicaciones posoperatorias fueron escasas, ninguna relacionada con la analgesia regional. Conclusiones: Los bloqueos de pared torácica anterior tienden a disminuir los requerimientos de opioides posoperatorios, pueden además contribuir a extubaciones y salida de UCI tempranas en correspondencia con protocolos ERAS y Fast Track. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología is the property of Sociedad Colombiana de Anestesiologia y Reanimacion and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.5554/22562087.e1177
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        Text: English
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        PageCount: 7
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    Subjects:
      – SubjectFull: NERVE block
        Type: general
      – SubjectFull: POSTOPERATIVE pain treatment
        Type: general
      – SubjectFull: DRUG administration
        Type: general
      – SubjectFull: CONDUCTION anesthesia
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      – SubjectFull: CARDIAC surgery
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      – SubjectFull: CHEST (Anatomy)
        Type: general
      – SubjectFull: INTENSIVE care units
        Type: general
    Titles:
      – TitleFull: Regional analgesia of the anterior thorax in cardiac surgery. Case series.
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            NameFull: Otálora Sánchez, Valeria
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            NameFull: Enríquez Obando, Luis Eduardo
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              Text: Apr-Jun2026
              Type: published
              Y: 2026
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