2021
DOI: 10.4103/sja.sja_743_20
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Post-thoracotomy analgesia

Abstract: Thoracotomy is considered one of the most painful operative procedures. Due to anatomical complexity, post-thoracotomy pain requires multimodal perioperative treatment to adequately manage to ensure proper postoperative recovery. There are several different strategies to control post-thoracotomy pain including interventional techniques, such as neuraxial and regional injections, and conservative treatments including medications, massage therapy, respiratory therapy, and physical therapy. This article describes… Show more

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Cited by 11 publications
(10 citation statements)
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“…However, even after minimally invasive thoracic operations, some patients suffer from chronic complaints, although they are less frequent and of lower intensity compared to thoracotomy [31]. Several anaesthesiological strategies to post-thoracotomy analgesia have been proposed to reduce the postoperative pain, such as thoracic epidural analgesia, intrathecal analgesia, paravertebral block, serratus anterior plane block, erector spinae block, intercostal nerve block, cryoablation, interpleural block, and interscalene block [32][33][34][35]. However, none of these techniques has offered a major significant relief of postoperative thoracic pain.…”
Section: Discussionmentioning
confidence: 99%
“…However, even after minimally invasive thoracic operations, some patients suffer from chronic complaints, although they are less frequent and of lower intensity compared to thoracotomy [31]. Several anaesthesiological strategies to post-thoracotomy analgesia have been proposed to reduce the postoperative pain, such as thoracic epidural analgesia, intrathecal analgesia, paravertebral block, serratus anterior plane block, erector spinae block, intercostal nerve block, cryoablation, interpleural block, and interscalene block [32][33][34][35]. However, none of these techniques has offered a major significant relief of postoperative thoracic pain.…”
Section: Discussionmentioning
confidence: 99%
“…The active surface is directly applied to the intercostal such as Von Hippo Lindau disease, patients with a spine injury or coagulopathy). A variety of other multimodal regimens include erector spinae block and intercostal nerve block, systemic narcotics IV PCA provide shortterm analgesia, and the analgesic duration is typically insufficient for the entire recovery period [5,6,10].…”
Section: Mesenchymal Chondrosarcoma (Mcs)mentioning
confidence: 99%
“…However, chest wall surgery is frequently associated with severe, postoperative pain. Inadequate pain control in this period increases the risk of chronic post-thoracotomy pain syndrome and postoperative complications, decreases physical function, and worsens quality of life [4][5][6].…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…The goal of this pain relief strategy is to improve analgesia without increasing the side effects compared with increased doses of single agents [ 7 ]. A multimodal analgesic protocol may contain both systemic analgesics and interventional techniques [ 8 ]. Typical elements of systemic analgesic options in pediatric patients undergoing the Ravitch procedure are usually opioids, non-steroidal anti-inflammatory drugs, paracetamol, diazepam, or gabapentin [ 9 , 10 ], while continuous epidural anesthesia appears to be one of the most commonly used interventional techniques [ 11 , 12 ].…”
Section: Introductionmentioning
confidence: 99%