Recent Advances in Postoperative Pain Therapy for Thoracic Surgery

Loop, Torsten; Harris, Stephen N.; Grimm, Alexander

doi:10.1007/s40140-014-0058-5

Cited by 4 publications

(3 citation statements)

References 101 publications

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“…The results of our study are in agreement with the results of the systematic review done by Loop et al (8) who found that the use of either TEA or TPVB (thoracic paravertebral block) provides comparable and effective analgesia for thoracic surgery. TPVB reduces the incidence of post-operative pulmonary complications and post-operative hypotension.…”

Section: Resultssupporting

confidence: 92%

Value of Combining Intercostal Block by the Operating Surgeon with Other Pain Control Modalities on Post-thoracotomy Pain Management

2024

The Egyptian Journal of Hospital Medicine

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Section: Resultssupporting

confidence: 92%

Value of Combining Intercostal Block by the Operating Surgeon with Other Pain Control Modalities on Post-thoracotomy Pain Management

2024

The Egyptian Journal of Hospital Medicine

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“…Pain after thoracic surgery is generally considered to be from moderate to severe and could affect pulmonary function by reducing deep breathing and coughing ability, resulting in reduced clearance of secretions, atelectasis and pneumonia;[1] nonetheless, severe postoperative pain in thoracic surgery is associated with a higher rate of pain chronicization. [2] For these reasons, optimal pain management after thoracic surgery is mandatory since without an effective pain control patients may have an adverse outcomes.…”

Section: Introductionmentioning

confidence: 99%

Sufentanil sublingual tablet system (Zalviso^®) as an effective analgesic option after thoracic surgery: An observational study

et al. 2019

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Introduction: Sufentanil sublingual tablet system (SSTS) (Zalviso ® ) is a sublingual system for patient controlled analgesia, demonstrated to be an effective strategy for pain control after major abdominal and orthopedic surgery. We present a prospective observational study on the use of SSTS for the management of postoperative pain after thoracic surgery. The aim of this study was to assess the efficacy of Zalviso ® in reducing pain scores and increasing respiratory ability during postoperative period. Materials and Methods: There were about 40 patients underwent video assisted thoracoscopy were included in the study. All the enrolled patients signed the informed consent were educated to the use of the device. Pain numeric rating scale values (NRS) were recorded at awakening from anesthesia (T0) and during the next hours, both at rest and with cough. We evaluate the time to obtain a mean NRS value ≤3 and difference in pain scores between first and subsequent measurements as the primary outcomes. The ability to use incentive spirometer and eventual drug adverse effect were evaluated as secondary outcomes. Results: All patients in recovery room experienced moderate to severe pain. Pain score at rest and coughing decreased to a mean NRS value ≤3 (mild pain) respectively after 2 and 6 hours and the pain score difference continued to increase significantly after repeated measurements. 67.5% of patients resumed the original spirometric ability in pod 1; 9.5% in pod 2; 12% in pod 3. Only three patients out of forty (7,5%) experienced nausea; one patient (2,5%) had a vomiting episode. Conclusion: Our study showed SSTS as an effective option for postoperative pain management in thoracic surgery, improving pain scores and respiratory ability.

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“…Para Heck et al (2004) o não-controle da dor no PO pode levar a alterações de prova de função respiratória. Observa-se o aparecimento de atelectasia, redução da perfusão/ventilação, hipoxemia, síndrome da dor crônica em mais de 50% dos pacientes, em Loop et al (2014) e Huang & Sakata, (2016), bem como trombose venosa profunda (Appleton, 2018) e complicações cardíacas (Van Heren et al 2018).…”

Section: Introductionunclassified

Análise da efetividade do bloqueio peridural em Bomba de Infusão Continua (BIC) no controle da dor em pós-operatório de cirurgia torácica

Costanzo

Machado²,

Zanchet³

et al. 2022

RSD

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Objetivo: análise da efetividade do bloqueio peridural em Bomba de Infusão Continua (BIC) no controle da dor em pós-operatório de cirurgia torácica. Metodologia: estudo transversal, utilizando banco de dados realizado no Centro de Pesquisas Oncológicas (CEPON), em pacientes submetidos a cirurgias torácicas de 2018 a 2020, em pacientes submetidos a toracotomia. Para a análise dos dados se utilizou do programa IBM Statististicsl Package for the Social Sciences (IBM SPSS®) 18.0, na análise descritiva da variável dependente Escala Visual Analógica de Dor e Tempo de Permanência em UTI, fez uso do Teste U de Mann-Whitney. Dados quantitativos apresentados por medidas de tendência central (média) e suas respectivas medidas de variabilidade/dispersão e qualitativos na forma de frequências simples e relativa. Estudo aprovado pelo comitê de ética em pesquisa. Resultados: nesta série foram analisados 35 pacientes submetidos a cirurgia torácica, o sexo masculino mais prevalente (57,1%), idade média 56,63 e tempo de UTI médio 2,78. A cirurgia mais frequente foi a lobectomia (51,7%). O Teste U de Mann-Whitney demonstrou o grupo 1 relatar menos dor que grupo 2 no POi (p = 0,035). observa-se uma média de tempo de internação em UTI nos pacientes do grupo 1 (3,67 ± 1,63). Conclusão: o estudo demonstrou o uso do bloqueio peridural em BIC com eficácia superior no controle da dor pós-operatória da amostra submetida a cirurgia torácica no CEPON, observado também um tempo maior de internação em UTI dos pacientes que utilizaram esta modalidade anestésica.

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Recent Advances in Postoperative Pain Therapy for Thoracic Surgery

Cited by 4 publications

References 101 publications

Value of Combining Intercostal Block by the Operating Surgeon with Other Pain Control Modalities on Post-thoracotomy Pain Management

Value of Combining Intercostal Block by the Operating Surgeon with Other Pain Control Modalities on Post-thoracotomy Pain Management

Sufentanil sublingual tablet system (Zalviso^®) as an effective analgesic option after thoracic surgery: An observational study

Análise da efetividade do bloqueio peridural em Bomba de Infusão Continua (BIC) no controle da dor em pós-operatório de cirurgia torácica

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Recent Advances in Postoperative Pain Therapy for Thoracic Surgery

Cited by 4 publications

References 101 publications

Value of Combining Intercostal Block by the Operating Surgeon with Other Pain Control Modalities on Post-thoracotomy Pain Management

Value of Combining Intercostal Block by the Operating Surgeon with Other Pain Control Modalities on Post-thoracotomy Pain Management

Sufentanil sublingual tablet system (Zalviso®) as an effective analgesic option after thoracic surgery: An observational study

Análise da efetividade do bloqueio peridural em Bomba de Infusão Continua (BIC) no controle da dor em pós-operatório de cirurgia torácica

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Sufentanil sublingual tablet system (Zalviso^®) as an effective analgesic option after thoracic surgery: An observational study