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Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
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Challenges in acute postoperative pain management in thoracic surgery
Benu Makkad1, Bessie Kachulis2
1Department of Anesthesiology, University of Cincinnati College of Medicine, Cincinnati, 45267, OH, United States.
Best Practice & Research. Clinical Anaesthesiology
|January 7, 2025
Summary
Effective pain management in thoracic surgery is key for recovery. Multimodal analgesia, using various drugs, helps reduce opioid use and improve outcomes for these patients.
Area of Science:
- Anesthesiology
- Thoracic Surgery
- Pain Management
Background:
- Effective pain control is vital for thoracic surgical patients, impacting recovery and reducing complications.
- Patients often have pre-existing respiratory issues, making pain management critical.
- Minimally invasive techniques and enhanced recovery protocols increase focus on opioid-sparing strategies.
Purpose of the Study:
- To review current research on opioid-sparing analgesia in thoracic surgery.
- To summarize pharmacological agents used in multimodal analgesic regimens.
- To provide guidance for clinical application of these strategies.
Main Methods:
- Literature review of recent studies on pain management in thoracic surgery.
- Analysis of intravenous, oral, and perineural pharmacological agents.
- Synthesis of evidence for multimodal analgesic approaches.
Main Results:
- Multimodal analgesia is increasingly adopted to minimize opioid-related adverse events like respiratory depression.
- Various pharmacological agents show promise in opioid-sparing regimens.
- The evidence base for these techniques is continuously expanding.
Conclusions:
- Opioid-sparing multimodal analgesia is essential for optimizing recovery in thoracic surgery patients.
- Careful selection and application of pharmacological agents are crucial.
- Further research will refine these analgesic strategies.
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