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Persistent Pain After Cardiac Surgery: Prevention and Management
James C Krakowski1, Matthew J Hallman1, Alan M Smeltz1
1University of North Carolina at Chapel Hill, NC, USA.
Seminars in Cardiothoracic and Vascular Anesthesia
|August 21, 2021
Summary
Persistent postoperative pain (PPP) after cardiac surgery is a common issue. This review explores opioid-sparing, multimodal strategies to prevent and manage PPP, improving patient outcomes.
Area of Science:
- Pain Management
- Cardiac Surgery
- Anesthesiology
Background:
- Persistent postoperative pain (PPP) following cardiac surgery is a prevalent complication.
- PPP significantly impairs patient quality of life and increases healthcare costs.
- Current management lacks standardized guidelines.
Purpose of the Study:
- To review and discuss strategies for preventing and managing PPP after cardiac surgery.
- To highlight the potential benefits of opioid-sparing approaches.
- To explore the role of multimodal analgesia in mitigating PPP.
Main Methods:
- Literature review of strategies for PPP prevention and management.
- Discussion of perioperative analgesia techniques.
- Analysis of opioid-sparing and multimodal analgesic plans.
Main Results:
- Adequate perioperative analgesia is crucial for PPP prevention.
- Opioid-sparing strategies may reduce side effects and the risk of PPP.
- Multimodal analgesia, including alternative medications and regional anesthesia, shows promise for superior efficacy and reduced adverse effects.
Conclusions:
- Implementing opioid-sparing, multimodal analgesic plans is recommended for managing PPP after cardiac surgery.
- These strategies offer a promising approach to improve patient outcomes and reduce the burden of PPP.
- Further research and guideline development are needed to standardize PPP management.
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