Back to Search Start Over

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

Authors :
Umari, Marzia
Carpanese, Valentina
Moro, Valeria
Baldo, Gaia
Addesa, Stefano
Lena, Enrico
Lovadina, Stefano
Lucangeloa, Umberto
Source :
European Journal of Cardio-Thoracic Surgery. May2018, Vol. 53 Issue 5, p932-938. 7p. 1 Chart.
Publication Year :
2018

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]

Details

Language :
English
ISSN :
10107940
Volume :
53
Issue :
5
Database :
Academic Search Index
Journal :
European Journal of Cardio-Thoracic Surgery
Publication Type :
Academic Journal
Accession number :
129141612
Full Text :
https://doi.org/10.1093/ejcts/ezx413