Effectiveness of scheduled intravenous acetaminophen in the postoperative pain management of video-assisted thoracic surgery

Shikatani, Yoshinobu; Soh, Junichi; Shien, Kazuhiko; Kurosaki, T.; Ohtani, Shinji; Yamamoto, Hiromasa; Taniguchi, Arata; Okazaki, Mikio; Sugimoto, Seiichiro; Yamane, Masaomi; Oto, Takahiro; Morimatsu, Hiroshi; Toyooka, Shinichi

doi:10.1007/s00595-020-02127-y

Cited by 5 publications

(2 citation statements)

References 13 publications

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“…Acetaminophen can significantly reduce postoperative pain in VATS patients (16). In a small randomized controlled trial (RCT) in VATS patients, IV acetaminophen was able to achieve analgesic effects close to ketorolac (17).…”

Section: Acetaminophen For Vatsmentioning

confidence: 99%

Regional anesthesia and acute perioperative pain management in thoracic surgery: a narrative review

Hamilton¹,

Alfille²,

Mountjoy³

et al. 2022

J Thorac Dis

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Background and Objective: Thoracic surgery causes significant pain which can negatively affect pulmonary function and increase risk of postoperative complications. Effective analgesia is important to reduce splinting and atelectasis. Systemic opioids and thoracic epidural analgesia (TEA) have been used for decades and are effective at treating acute post-thoracotomy pain, although both have risks and adverse effects. The advancement of thoracoscopic surgery, a focus on multimodal and opioid-sparing analgesics, and the development of ultrasound-guided regional anesthesia techniques have greatly expanded the options for acute pain management after thoracic surgery. Despite the expansion of surgical techniques and analgesic approaches, there is no clear optimal approach to pain management. This review aims to summarize the body of literature regarding systemic and regional anesthetic techniques for thoracic surgery in both thoracotomy and minimally invasive approaches, with a goal of providing a foundation for providers to make individualized decisions for patients depending on surgical approach and patient factors, and to discuss avenues for future research.Methods: We searched PubMed and Google Scholar databases from inception to May 2021 using the terms "thoracic surgery", "thoracic surgery AND pain management", "thoracic surgery AND analgesia", "thoracic surgery AND regional anesthesia", "thoracic surgery AND epidural". We considered articles written in English and available to the reader.

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Section: Acetaminophen For Vatsmentioning

confidence: 99%

Regional anesthesia and acute perioperative pain management in thoracic surgery: a narrative review

Hamilton¹,

Alfille²,

Mountjoy³

et al. 2022

J Thorac Dis

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show abstract

“…The literature evaluating the perioperative use of acetaminophen as an analgesic adjunct in patients undergoing thoracic surgery via VATS 100,101 or open thoracotomy 102 reported findings that did not reach statistical significance for reduction in both acute incisional 100,101 and shoulder pain 102 when combined with regional techniques (Category A3-E evidence, 102 and Category B2-E evidence 100,101 ). However, patients reported reduction in shoulder pain for the first 16 hours with scheduled acetaminophen after thoracotomy with thoracic epidural analgesia (TEA).…”

Section: Pharmacological Interventionsmentioning

confidence: 99%

Practice Advisory for Preoperative and Intraoperative Pain Management of Thoracic Surgical Patients: Part 1

Makkad

Heinke

Sheriffdeen

et al. 2023

Anesthesia &Amp; Analgesia

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Pain after thoracic surgery is of moderate-to-severe intensity and can cause increased postoperative distress and affect functional recovery. Opioids have been central agents in treating pain after thoracic surgery for decades. The use of multimodal analgesic strategies can promote effective postoperative pain control and help mitigate opioid exposure, thus preventing the risk of developing persistent postoperative pain. This practice advisory is part of a series developed by the Society of Cardiovascular Anesthesiologists (SCA) Quality, Safety, and Leadership (QSL) Committee’s Opioid Working Group. It is a systematic review of existing literature for various interventions related to the preoperative and intraoperative pain management of thoracic surgical patients and provides recommendations for providers caring for patients undergoing thoracic surgery. This entails developing customized pain management strategies for patients, which include preoperative patient evaluation, pain management, and opioid use–focused education as well as perioperative use of multimodal analgesics and regional techniques for various thoracic surgical procedures. The literature related to this field is emerging and will hopefully provide more information on ways to improve clinically relevant patient outcomes and promote recovery in the future.

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Challenges in acute postoperative pain management in thoracic surgery

Makkad,

Kachulis

2024

Best Practice & Research Clinical Anaesthesiology

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Effectiveness of scheduled intravenous acetaminophen in the postoperative pain management of video-assisted thoracic surgery

Cited by 5 publications

References 13 publications

Regional anesthesia and acute perioperative pain management in thoracic surgery: a narrative review

Regional anesthesia and acute perioperative pain management in thoracic surgery: a narrative review

Practice Advisory for Preoperative and Intraoperative Pain Management of Thoracic Surgical Patients: Part 1

Challenges in acute postoperative pain management in thoracic surgery

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