非阿片类镇痛药在心脏手术后疼痛管理中的应用。

IF 1.1 Q3 ANESTHESIOLOGY Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2021-12-01 Epub Date: 2021-04-25 DOI:10.1177/1089253221998552
Soheyla Nazarnia, Kathirvel Subramaniam
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引用次数: 4

摘要

阿片类镇痛仍然被认为是心脏手术的标准做法。近年来,几种非麻醉性镇痛药和局部镇痛药的组合在心脏手术期间和之后限制阿片类药物的使用方面显示出了希望。氯胺酮输注、右美托咪定输注、对乙酰氨基酚、酮咯酸和加巴喷丁是心脏麻醉实践中有用的辅助剂,具有阿片类药物节约特性。非麻醉性多模式镇痛对心脏手术后术中应激反应、恢复情况、术后疼痛和阿片类药物持续使用的有益作用尚未确定,需要进一步的随机临床试验。
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Nonopioid Analgesics in Postoperative Pain Management After Cardiac Surgery.

Opioid analgesia is still considered the standard of practice for cardiac surgery. In recent years, combinations of several nonnarcotic analgesics and regional analgesia have shown promise in restricting opioid use during and after cardiac surgery. Ketamine infusion, dexmedetomidine infusion, acetaminophen, ketorolac, and gabapentin are useful adjuvants in cardiac anesthesia practice and have opioid-sparing properties. The beneficial effects of nonnarcotic multimodal analgesia on intraoperative stress response, recovery profile, postoperative pain, and persistent opioid use after cardiac surgery are yet to be established, and further randomized clinical trials are required.

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来源期刊
CiteScore
3.60
自引率
14.30%
发文量
31
期刊最新文献
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