AANA February 2024 Journal Course: Truncal Plane Blocks for Implantation of Cardiac Resynchronization Devices: A Systematic Review-AANA.com/aanajournalonline AANA Journal + February 2024 + Vol. 92 No. 1 63 Truncal Plane Blocks for Implantation of Cardiac Resynchronization Devices: A Systematic Review

AANA.com/aanajournalonline AANA Journal + February 2024 + Vol. 92 No. 1 63 Truncal Plane Blocks for Implantation of Cardiac Resynchronization Devices: A Systematic Review

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Pdf Summary

Truncal plane blocks (TPBs) have been found to provide effective analgesia for patients undergoing subcutaneous implantable cardioverter-defibrillator (S-ICD) placement. S-ICD devices are commonly used for cardiomyopathy and heart failure. TPBs involve the use of local anesthetics injected into specific areas of the chest to block the nerves responsible for transmitting pain signals during the procedure. A systematic review of several studies on TPBs for S-ICD placement found that they provide adequate analgesia and reduce postoperative pain scores, opioid consumption, and the need for rescue analgesia. The studies also showed that TPBs can be combined with mild or moderate sedation, avoiding the need for general anesthesia. Additionally, TPBs were found to have minimal impact on hemodynamics, making them a suitable option for high-risk patients. The evidence suggests that TPBs offer a viable alternative to general anesthesia for S-ICD placement, providing improved pain management and reducing the risk of complications associated with opioids and general anesthesia. Further research is needed to explore the effects of TPBs on intraoperative hemodynamics and to establish optimal dosing and techniques for different patient populations.

Keywords

Truncal plane blocks

TPBs

analgesia

subcutaneous implantable cardioverter-defibrillator

S-ICD placement

cardiomyopathy

heart failure

local anesthetics

postoperative pain scores

opioid consumption