Comparison of the eficiency of prolonged ultrasound-guided erector spinae plane block and prolonged epidural anesthesia in minimally invasive coronary bypass surgery

The objective of the study was to evaluate effectiveness prolonged ESP-block in comparison with thoracic epidural anesthesia MIDCAB surgery. Materials and methods. We conducted a prospective randomised two centre 45 patients who underwent In addition general anesthesia, performed group 1 (n = 22), 2 23). Results. decrease blood pressure caused by development regional block at all stages more pronounced when using anesthesia. 2, dosage norepinephrine higher: 0.06 (0.05; 0.0725) mcg/kg–1/min–1 0.16 (0.16; 0.16) mcg/kg/min p < 0.001. duration mechanical ventilation lower amounted 102.5 (90; 110) minutes versus 110 (110; 115) 2. surgery did not differ between groups, fentanyl consumption for higher 1: 0.7 (0.6; 0.8) mg 0.6 (0.5; 0.1) (p 0.001). Postoperatively, pain rated as mild moderate both less analgesia 4 32 hours rest on coughing. After 48 hours, there were no statistical differences groups. score during coughing groups exceed 3 points, need emergency analgesia. Conclusion. operations, is an effective method While providing sufficiently high level analgesia, use only slightly increases usage. postoperative period, ESP-block, extubation occurs earlier, almost good blockade.