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Anesthesia and perioperative pain management during cardiac electronic device implantation

Marina Biocic1, Dijana Vidosevic2, Matija Boric1,3

  • 1Laboratory for Pain Research, University of Split School of Medicine.

Journal of Pain Research
|May 2, 2017
PubMed

Insights

Patients undergoing cardiac electronic device (CED) implantation often experience severe pain during and after the procedure. Current perioperative pain management is insufficient, indicating a need for improved sedation and analgesia strategies.

Area of Science:

  • Cardiology
  • Anesthesiology
  • Pain Management

Background:

  • Pain associated with cardiac electronic device (CED) implantation and its management are understudied.
  • Existing perioperative pain management practices for CED implantation require further investigation.

Purpose of the Study:

  • To analyze perioperative pain management strategies used during CED implantation.
  • To assess the intensity and location of pain experienced by patients undergoing CED implantation.
  • To compare current practices with established guidelines for acute perioperative pain management.

Main Methods:

  • A combined retrospective (321 patients) and prospective (51 patients) study design.
  • Data collected from a tertiary hospital, University Hospital Split, Croatia.
  • Pain intensity measured using a numerical rating scale (NRS) from 0 to 10.

Main Results:

  • Only a quarter of patients received pre-operative analgesia or sedation; all received local lidocaine anesthesia.
  • Post-operatively, 31% of patients received pain medication or sedation.
  • Severe pain (NRS >5) was reported during and up to 24 hours after implantation, with common locations including the surgical site, shoulder, and chest.
  • Adherence to acute perioperative pain management guidelines was insufficient.

Conclusions:

  • Patients undergoing CED implantation frequently experience severe pain.
  • Current perioperative pain management is suboptimal, necessitating increased sedation and analgesia.
  • Development of specific guidelines for anesthesia and pain management during CED implantation is recommended.
Abstract

Keywords:
analgesicscardiac electronic devicesguidelinespain intensityperioperative pain managementpostoperative pain

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