Anesthesia & Clinical Research
Open Access

Jehan Mohammad Darwish

Publications

• Research Article
  Ultrasound Guided PECS II Block in Minimally Invasive Coronary Artery By-pass Grafting
  Author(s): Mona Raafat El Ghamry, Jehan Mohammad Darwish, Atteia Gad Anwar and Yasser Elghoneimy Mona Raafat El Ghamry, Jehan Mohammad Darwish, Atteia Gad Anwar and Yasser Elghoneimy
  
  Background: Minimally invasive cardiac surgery (MICS) is less invasive than sternotomy but associated with significant postoperative pain. Regional analgesia is debatable with risk of bleeding. PECS II block is simple, less invasive technique. Objective: To evaluate efficacy of Fentanyl IV-PCA alone or when combined with PECS II block for pain control after MICS. Method: Sixty adult patients ASA II&III undergoing MICS were randomized to PCA group (Fentanyl IV-PCA alone) or PS group (PECS II block with Fentanyl IV-PCA). Outcome variables included postoperative fentanyl consumption (1 year outcome), time to first analgesic request, end expiratory sevoflurane, extubation time, VAS, HR, MBP, ICU stay and complications. Results: Total fentanyl consumption 12 hours post- extubation was sign.. View More»
  

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