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Pain management within an enhanced recovery program after thoracic surgery
Calvin Thompson1, Daniel G French2, Ioana Costache1
1Department of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Journal of Thoracic Disease
|December 4, 2018
Summary
Enhanced recovery after surgery (ERAS) in thoracic surgery (ERATS) relies on effective postoperative pain management. Optimizing pain control is crucial for early ambulation, shorter hospital stays, and preventing chronic pain.
Area of Science:
- Thoracic Surgery
- Pain Management
- Enhanced Recovery After Surgery (ERAS)
Background:
- Chest surgery is highly painful, impacting recovery regardless of approach (open or minimally invasive surgery, MIS).
- Enhanced recovery pathways and MIS are reducing hospital length of stay (LOS).
- Early and effective pain control is essential for patients to meet discharge criteria sooner.
Purpose of the Study:
- To review pain management protocols for thoracic surgery patients within an ERAS program (ERATS).
- To highlight the importance of pain control for early ambulation and recovery.
- To discuss strategies for minimizing chronic persistent postoperative pain (CPPP).
Main Methods:
- Literature review focusing on pain management options in ERATS.
- Analysis of current perioperative care pathways.
- Examination of strategies for optimizing early postoperative pain control.
Main Results:
- Building evidence supports the efficacy of ERAS protocols in thoracic surgery.
- Effective pain management is identified as the cornerstone of early recovery.
- Optimized pain control facilitates ambulation and reduces the risk of CPPP.
Conclusions:
- Implementing robust pain management protocols is critical for successful ERATS.
- Early optimization of pain control enables faster recovery and shorter LOS.
- Focusing on pain management in ERATS can improve patient outcomes and prevent chronic pain.
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