• Ashok K Kumar, Sandeep Chauhan, Debesh Bhoi, and Brajesh Kaushal.
• Department of Cardiac Anesthesiology, CN Center, All India Institute of Medical Sciences, New Delhi, India. Electronic address: ashok.medickaramsi@gmail.com.
• J. Cardiothorac. Vasc. Anesth. 2021 Jan 1; 35 (1): 116-122.

ObjectiveTo determine the efficacy of pectointercostal fascial block in relieving postoperative pain in patients undergoing cardiac surgery.DesignSingle-blinded, prospective, randomized controlled trial.SettingSingle-center tertiary care teaching hospital.ParticipantsA total 40 participants undergoing cardiac surgery aged 18 to 80 years.InterventionsSubjects were categorized into 2 groups of 20 each. In group 2 participants (interventional group), bilateral pectointercostal fascial block was given using ropivacaine injection 0.25% after completion of surgery, before shifting to the intensive care unit.Measurements And Main ResultsPostoperative pain was measured after extubation at 0, 3, 6, and 12 hours, using a numeric rating scale. Pain in group 2 was significantly less and lasted for a longer duration than in group 1. Fentanyl requirement was significantly higher in group 1 (1.06 ± 0.12 µ/kg) than in group 2 (0.82 ± 0.19 µ/kg).ConclusionsPectointercostal fascial block is an easy and efficient technique to reduce postoperative pain after cardiac surgery.Copyright © 2020 Elsevier Inc. All rights reserved.

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