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Pain after thoracic surgery.

E Kalso1, K Perttunen, S Kaasinen

  • 1Department of Anaesthesia, Helsinki University Central Hospital, Finland.

Acta Anaesthesiologica Scandinavica
|January 1, 1992
PubMed
Summary
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Postoperative pain management after thoracic surgery was evaluated. Many patients experienced persistent pain, highlighting the need for improved pain relief strategies following thoracotomy.

Area of Science:

  • Thoracic Surgery
  • Pain Management
  • Anesthesiology

Background:

  • Postoperative pain following thoracic surgery is a significant concern.
  • Effective pain management is crucial for patient recovery and quality of life.

Purpose of the Study:

  • To evaluate postoperative pain treatment and outcomes in patients undergoing thoracic surgery.
  • To assess the prevalence and characteristics of persistent post-thoracotomy pain.

Main Methods:

  • Retrospective review of 214 patient medical records (1986-1988).
  • Analysis of nurses' pain assessments and analgesic administration for the first two postoperative days.
  • Postal questionnaire survey sent to 150 surviving patients in 1989 regarding pain experience and treatment efficacy.

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Main Results:

  • Mean intramuscular oxycodone consumption was 38 mg (Day 1) and 33 mg (Day 2).
  • Nonsteroidal anti-inflammatory drugs reduced opioid use on Day 2 but not Day 1.
  • 44% of patients reported persistent post-thoracotomy pain (>6 months), with 66% receiving treatment.

Conclusions:

  • Significant proportions of patients experience moderate to severe pain post-thoracotomy.
  • While pain relief was rated good/satisfactory by most, persistent pain remains a challenge.
  • Further research into optimizing multimodal analgesia and managing chronic pain after thoracic surgery is warranted.