The Effectiveness of Active External Warming of Patient Concurrently With Ice Application on the Incision Site on Post-Thoracotomy Pain and Analgesic Consumption

Kol, Emine; İnce, Serpil; Erdoğan, Abdullah; Karslı, Bilge; Keskin, Hakan; Özgür, Nazmiye

doi:10.1177/10547738221101729

Cited by 2 publications

(1 citation statement)

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“…It has been widely practiced for post thoracotomy pain by rehabilitation and external warming methods. Kol et al ( 41 ) investigated that the effects of active external warming of patient concurrently with application of ice to incision site on thoracotomy pain and analgesic consumption and demonstrated that active external warming and ice application on the incision area, could reduce opioid consumption the intensity of thoracotomy pain. Transcutaneous electrical stimulation has been used as a form of physical therapy for postoperative pain after thoracic surgery ( 42 , 43 ).…”

Section: Othersmentioning

confidence: 99%

Post-thoracotomy pain syndrome in the era of minimally invasive thoracic surgery

Miyazaki,

Doi,

Matsumoto

2024

J Thorac Dis

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Post-thoracotomy pain syndrome (PTPS) is defined as pain around the wound that persists for more than 2 months after surgery. Persistent pain not only increases the use of analgesics and their side effects but also causes many social problems, such as decreased activities of daily living, decreased quality of life, and increased medical costs. In particular, thoracic surgery is associated with a higher frequency and severity of chronic pain than is surgery for other diseases. The basic principles of postoperative pain treatment, not limited to thoracic surgery, are multimodal analgesic methods (using combinations of several drugs to minimize opioid use) and around-the-clock treatment (administering analgesics at a fixed time and in sufficient doses). Thoracic surgeons must always be aware of the following three points: acute severe postoperative pain is a major risk factor for chronic pain; neuropathic pain due to intercostal nerve injury is a major cause of postoperative pain after thoracic surgery, and its presence must not be overlooked from the acute stage; and analgesics must be administered in sufficient quantities according to dosage and volume. The frequency of PTPS has decreased compared with that in the standard thoracotomy era because of the development of analgesia and the widespread use of minimally invasive procedures such as thoracoscopic surgery and robot-assisted surgery. However, no consistently effective prevention or treatment strategies for PTPS have yet been established. In this review, we focus on PTPS in the era of minimally invasive surgery and discuss the role of thoracic surgeons in its management.

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Section: Othersmentioning

confidence: 99%