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5 results on '"Umari, Marzia"'

1. One-Lung Ventilation and Postoperative Pulmonary Complications After Major Lung Resection Surgery. A Multicenter Randomized Controlled Trial

Author

Piccioni, Federico, Langiano, Nicola, Bignami, Elena, Guarnieri, Marcello, Proto, Paolo, D'Andrea, Rocco, Mazzoli, Carlo A., Riccardi, Ilaria, Bacuzzi, Alessandro, Guzzetti, Luca, Rossi, Irene, Scolletta, Sabino, Comi, Daniela, Benigni, Alberto, Pierconti, Federico, Coccia, Cecilia, Biscari, Matteo, Murzilli, Alice, Umari, Marzia, Peratoner, Caterina, Serra, Eugenio, Baldinelli, Francesco, Accardo, Rosanna, Diana, Fernanda, Fasciolo, Alessandro, Amodio, Riccardo, Ball, Lorenzo, Greco, Massimiliano, Pelosi, Paolo, and Della Rocca, Giorgio

Published
2023
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4. Postoperative analgesia after pulmonary resection with a focus on video-assisted thoracoscopic surgery.

Author

Umari, Marzia, Carpanese, Valentina, Moro, Valeria, Baldo, Gaia, Addesa, Stefano, Lena, Enrico, Lovadina, Stefano, and Lucangeloa, Umberto

Subjects
*VIDEO-assisted thoracic surgery, *ANESTHESIOLOGIST assistants, *ANALGESIA, *POSTOPERATIVE pain, *ANALGESICS, *MANAGEMENT
Abstract

Video-assisted thoracoscopic surgery is a widespread technique that has been linked to improved postoperative respiratory function, reduced hospital length of stay and a higher level of tolerability for the patients. Acute postoperative pain is of considerable significance, and the late development of neuropathic pain syndrome is also an issue. As anaesthesiologists, we have investigated the available evidence to optimize postoperative pain management. An opioid-sparing multimodal approach is highly recommended. Loco-regional techniques such as the thoracic epidural and peripheral blocks can be performed. Several adjuvants have been employed with varying degrees of success both intravenously and in combination with local anesthetics. Opioids with different pharmacodynamic and pharmacokinetic profiles can be used, either through continuous infusion or on demand. Non-opioid analgesics are also beneficial. Finally, perioperative gabapentinoids may be implemented to prevent the onset of chronic neuropathic pain. [ABSTRACT FROM AUTHOR]

Published
2018
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