Pain Control in the Cardiothoracic Surgery Patient

Thompson-Brazill, Kelly A.

doi:10.1016/j.cnc.2019.05.007

Cited by 6 publications

(4 citation statements)

References 55 publications

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“…Just like this study had shown, moreover, pain after cardiac surgery may not be adequately controlled using systemic analgesics alone. 4 Available literatures indicate that ultrasound-guided paravertebral and intercostal blocks enable safe, effective, opioid-free pain control and have been recommended as a component of multimodal analgesic regimens for ERACS practice. 2 , 5 We would like to know why the authors did not consider including a local block in their multimodal analgesic regimen.…”

Section: Dear Editormentioning

confidence: 99%

Evaluation of the Effect of New Multimodal Analgesia Regimen for Cardiac Surgery: A Prospective, Randomized Controlled, Single-Center Clinical Study [Letter]

Chen¹,

Xue²,

Li³

2023

DDDT

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Section: Dear Editormentioning

confidence: 99%

Evaluation of the Effect of New Multimodal Analgesia Regimen for Cardiac Surgery: A Prospective, Randomized Controlled, Single-Center Clinical Study [Letter]

Chen¹,

Xue²,

Li³

2023

DDDT

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“…Other efficacious adverse effects include sedation and respiratory depression. 9 Respiratory problems are also the result of high dose, misuse, or overdose. Therefore, it is essential to control or balance the usage of opioids, multimodal analgesia and opioid-sparing in relieving pain.…”

Section: Opioidsmentioning

confidence: 99%

Anesthesia without opioids

Butt¹,

Faraz²,

Fazal³

2022

Anaesth. pain intensive care

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Summary Opium was the first opioids with sedative and analgesic effects, so was readily adopted by the surgical doctors to be used during surgeries. Later on its natural alkaloid, morphine, was extensively used, till synthetic alkaloids were introduced in the clinical practice. Now many non-narcotic analgesic drugs have been synthesized and proven to be devoid of serious side effects, commonly associated with the opioid use. There have been some staunch advocates of non-narcotic based anesthesia, who claim that the side effects of the opioids outweigh their benefits in the anesthesia. This editorial throws some light on the current and the future trends in analgesic use in anesthesia. Key words: Opioids; Analgesics; Non-opioid analgesics; Perioperative pain; Side effects Citation: Butt MN, Faraz A, Fazal M. Anesthesia without opioids (Editorial). Anaesth. pain intensive care 2021;26(1):4–7; DOI: 10.35975/apic.v26i1.1758 Received: January 10, 2022, Accepted: January 12, 2022

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“…After thoracic surgery, it is difficult to achieve the best analgesic effect by adopting a single analgesic program. The increase of the dose of opioids results in the growth of the incidence of nausea, vomiting, and other adverse reactions [ 6 ]. Local anesthetic shows good analgesic effect and high safety.…”

Section: Introductionmentioning

confidence: 99%

Influences of Ultrasonic Image-Guided Erector Spinae Plane Block on Postoperative Pulmonary Air Content of Lung Carcinoma Patients Undergoing Thoracoscopic Surgery

Yang

Gao

2022

Computational and Mathematical Methods in Medicine

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To investigate the influences of ultrasonic image-guided erector spinae plane block (ESPB) on postoperative pulmonary air content of lung carcinoma patients undergoing thoracoscopic surgery, 42 patients performed with thoracoscopic radical surgery for lung carcinoma were selected. The patients in the experimental group were performed with ultrasound-guided unilateral ESPB and intravenous general anesthesia. The patients in the control group only underwent intravenous anesthesia. The changes in postoperative pulmonary air content between the two groups were compared. After that, all included patients were divided into the experimental (senior) group (13 cases), the experimental (adult) group (8 cases), the control (senior) group (11 cases), and the control (adult) group (10 cases) according to age. The changes in postoperative pulmonary air content of patients in the four groups were compared. The results showed that lung ultrasound score (LUS) of patients in experimental group was 6.4 ± 3.2 points 0.5 hour after catheter extraction and LUS was 4.1 ± 2.3 points 20 to 30 hours. Both scores were remarkably lower than those of patients in control group ( P < 0.05 ). LUS of lower left anterior area, upper left posterior area, lower left posterior area, upper right posterior area, and lower right posterior area of patients in experimental group was all apparently lower than those in control group 0.5 hour after catheter extraction ( P < 0.05 ). LUS of upper left posterior area, lower left posterior area, lower right anterior area, upper right posterior area, and lower right posterior area of patients in experimental group was all remarkably lower than those in control group 20 to 30 hours after surgery ( P < 0.05 ). LUS of senile patients and middle-aged patients in experimental group 0.5 hour after catheter extraction was 8.01 ± 2.48 points and 5.93 ± 3.91 points, respectively, which were both notably lower than those in control group ( P < 0.05 ). Ultrasound-guided ESPB exerted fewer influences on lung and could effectively improve postoperative pulmonary air content among patients. Hence, it was worthy of clinical promotion.

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Pain Control in the Cardiothoracic Surgery Patient

Cited by 6 publications

References 55 publications

Evaluation of the Effect of New Multimodal Analgesia Regimen for Cardiac Surgery: A Prospective, Randomized Controlled, Single-Center Clinical Study [Letter]

Evaluation of the Effect of New Multimodal Analgesia Regimen for Cardiac Surgery: A Prospective, Randomized Controlled, Single-Center Clinical Study [Letter]

Anesthesia without opioids

Influences of Ultrasonic Image-Guided Erector Spinae Plane Block on Postoperative Pulmonary Air Content of Lung Carcinoma Patients Undergoing Thoracoscopic Surgery

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