Persistent Pain After Cardiac Surgery: Prevention and Management.

IF 1.1 Q3 ANESTHESIOLOGY Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2021-12-01 Epub Date: 2021-08-20 DOI:10.1177/10892532211041320
James C Krakowski, Matthew J Hallman, Alan M Smeltz
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引用次数: 13

Abstract

Persistent postoperative pain (PPP) after cardiac surgery is a significant complication that negatively affects patient quality of life and increases health care system burden. However, there are no standards or guidelines to inform how to mitigate these effects. Therefore, in this review, we will discuss strategies to prevent and manage PPP after cardiac surgery. Adequate perioperative analgesia may prove instrumental in the prevention of PPP. Although opioids have historically been the primary analgesic approach to cardiac surgery, an opioid-sparing strategy may prove advantageous in reducing side effects, avoiding secondary hyperalgesia, and decreasing risk of PPP. Implementing a multimodal analgesic plan using alternative medications and regional anesthetic techniques may offer superior efficacy while reducing adverse effects.

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心脏手术后持续疼痛:预防和处理。
心脏手术后持续术后疼痛(PPP)是影响患者生活质量和增加医疗保健系统负担的重要并发症。然而,没有标准或指导方针来告知如何减轻这些影响。因此,在这篇综述中,我们将讨论心脏手术后预防和处理PPP的策略。充分的围手术期镇痛可能有助于预防PPP。虽然阿片类药物历来是心脏手术的主要镇痛方法,但阿片类药物节约策略可能在减少副作用、避免继发性痛觉过敏和降低PPP风险方面具有优势。使用替代药物和区域麻醉技术实施多模式镇痛计划可能在减少不良反应的同时提供更好的疗效。
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来源期刊
CiteScore
3.60
自引率
14.30%
发文量
31
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