Pain management after thoracic surgery or chest trauma.
Minerva Anestesiol
; 89(11): 1022-1033, 2023 11.
Article
en En
| MEDLINE
| ID: mdl-37671536
ABSTRACT
Accidental or surgically induced thoracic trauma is responsible for significant pain that can impact patient outcomes. One of the main objectives of its pain management is to promote effective coughing and early mobilization to reduce atelectasis and ventilation disorders induced by pulmonary contusion. The incidence of chronic pain can affect more than 35% of patients after both thoracotomy and thoracoscopy as well as after chest trauma. As the severity of acute pain is associated with the incidence of chronic pain, early and effective pain management is very important. In this narrative review, we propose to detail systemic and regional analgesia techniques to minimize postoperative pain, while reducing transitional pain, surgical stress response and opioid side effects. We provide the reader with practical recommendations based on both literature and clinical practice experience in a referral level III thoracic trauma center.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cirugía Torácica
/
Procedimientos Quirúrgicos Torácicos
/
Dolor Crónico
Tipo de estudio:
Guideline
Límite:
Humans
Idioma:
En
Revista:
Minerva Anestesiol
Año:
2023
Tipo del documento:
Article