Challenging conventional dogma in chest drain placement following lung resection surgery: is there a best position?

Kapetanakis, Emmanouil I.; Korodimos, Nikolaos L; Michos, Thrasyvoulos P; Tomos, Periklis

doi:10.1093/icvts/ivac131

Cited by 1 publication

(1 citation statement)

References 8 publications

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“…Even more, opioids hinder the aforementioned goals of ERATS. Early removal of chest drains, facilitating those ERATS goals should in these cases be considered [29]. An active chest drain management with evidence-based goals for removal should be integrated into the multimodal analgesic strategy [28 ▪▪ ].…”

Section: Chest Drain Managementmentioning

confidence: 99%

Get your 7-point golden medal for pain management in video-assisted thoracoscopic surgery

Hoogma,

Brullot,

Coppens

2023

Current Opinion in Anaesthesiology

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Purpose of review Thoracic surgery is evolving, necessitating an adaptation for perioperative anesthesia and analgesia. This review highlights the recent advancements in perioperative (multimodal) analgesia for minimally invasive thoracic surgery. Recent findings Continuous advancements in surgical techniques have led to a reduction in surgical trauma. However, managing perioperative pain remains a major challenge, impeding postoperative recovery. The traditional neuraxial technique is now deemed outdated for minimally invasive thoracic surgery. Instead, newer regional techniques have emerged, and traditional approaches have undergone (re-)evaluation by experts and professional societies to establish guidelines and practices. Assessing the quality of recovery, even after discharge, has become a crucial factor in evaluating the effectiveness of these strategies, aiding clinicians in making informed decisions to improve perioperative care. Summary In the realm of minimally invasive thoracic surgery, perioperative analgesia is typically administered through systemic and regional techniques. Nevertheless, collaboration between anesthesiologists and surgeons, utilizing surgically placed nerve blocks and an active chest drain management, has the potential to significantly improve overall patient care.

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Section: Chest Drain Managementmentioning

confidence: 99%