Bilateral continuous erector spinae block versus multimodal intravenous analgesia in coronary bypass surgery. A Randomized Trial

Multiple studies have confirmed that erector spinae block is effective in thoracic and breast surgeries. However, which investigate the efficacy of this cardiac surgery are scarce. This study aimed to compare continuous with multimodal intravenous analgesia coronary bypass surgery. Methods: Forty patients undergoing were divided into either group A (IV) (n = 20) who received or B (ES) had block. We compared two groups regarding Visual Analog Scale (VAS) till 48 h after extubation, total perioperative opioid consumption, post-extubation peak inspiratory flow, duration mechanical ventilation ICU stay. Results: Group showed a significantly lower VAS score than A. intraoperative fentanyl was less (403.75 ± 44.63) versus (685 99.47) A, p 0.00. Postoperative morphine doses 50% B; (15.9 2.63) (32.3 5.04) Peak flow higher extubation. Duration shorter (4.96 0.71 h) (6.08 0.69) In addition, stay also (35.52 3.87 (47.06 5.08 No clinically significant adverse effects recorded. Conclusion: Ultrasound-guided bilateral produced safe for extubation following It reduced consumption allowed early tracheal without major effects.