Postoperative Multimodal Analgesia in Cardiac Surgery

被引:44
作者
Barr, Linda F. [1 ]
Boss, Michael J. [2 ]
Mazzeffi, Michael A. [3 ]
Taylor, Bradley S. [3 ]
Salenger, Rawn [3 ]
机构
[1] Johns Hopkins Univ, Div Pulm & Crit Care Med, Sch Med, 733 N Broadway, Baltimore, MD 21205 USA
[2] Univ Maryland, St Joseph Med Ctr, 7601 Osler Dr,Odea Bldg Suite 302, Towson, MD 21204 USA
[3] Univ Maryland, Sch Med, 22S Greene St, Baltimore, MD 21201 USA
关键词
Cardiac surgery; Postoperative pain; Opioids; Multimodal pain management; Enhanced recovery after surgery (ERAS); PERIOPERATIVE PAIN MANAGEMENT; ENHANCED RECOVERY; OPIOID CONSUMPTION; ACETAMINOPHEN; PREVALENCE; ANESTHESIA; GUIDELINE; KETAMINE; EFFICACY;
D O I
10.1016/j.ccc.2020.06.003
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Multimodal pain management of cardiac surgical patients is a paradigm shift in postoperative care. This promising approach features complementary medications and techniques that spare opioids and improves symptomatic and functional recovery. Although the specific elements remain to be defined, the collaboration of the health care team and patient and continuous iterative programmatic improvements are important pillars of this approach. © 2020 Elsevier Inc.
引用
收藏
页码:631 / 651
页数:21
相关论文
共 72 条
  • [1] Long-term Analgesic Use After Low-Risk Surgery A Retrospective Cohort Study
    Alam, Asim
    Gomes, Tara
    Zheng, Hong
    Mamdani, Muhammad M.
    Juurlink, David N.
    Bell, Chaim M.
    [J]. ARCHIVES OF INTERNAL MEDICINE, 2012, 172 (05) : 425 - 430
  • [2] Allen Douglas J, 2002, Proc (Bayl Univ Med Cent), V15, P369
  • [3] Immune function after major surgical interventions: the effect of postoperative pain treatment
    Amodeo, Giada
    Bugada, Dario
    Franchi, Silvia
    Moschetti, Giorgia
    Grimaldi, Stefania
    Panerai, Alberto
    Allegri, Massimo
    Sacerdote, Paola
    [J]. JOURNAL OF PAIN RESEARCH, 2018, 11 : 1297 - 1305
  • [5] [Anonymous], 2018, 2018 ANN SURV REP DR
  • [6] Antall Gloria F, 2004, Orthop Nurs, V23, P335, DOI 10.1097/00006416-200409000-00012
  • [7] Ashton C, 1997, J CARDIOVASC SURG, V38, P69
  • [8] Pain and immunity: implications for host defence
    Baral, Pankaj
    Udit, Swalpa
    Chiu, Isaac M.
    [J]. NATURE REVIEWS IMMUNOLOGY, 2019, 19 (07) : 433 - 447
  • [9] Clinical and Economic Burden of Opioid Use for Postsurgical Pain: Focus on Ventilatory Impairment and Ileus
    Barletta, Jeffrey F.
    [J]. PHARMACOTHERAPY, 2012, 32 (09): : 12S - 18S
  • [10] Control of postoperative pain by transcutaneous electrical nerve stimulation after thoracic operations
    Benedetti, F
    Amanzio, M
    Casadio, C
    Cavallo, A
    Cianci, R
    Giobbe, R
    Mancuso, M
    Ruffini, E
    Maggi, G
    [J]. ANNALS OF THORACIC SURGERY, 1997, 63 (03) : 773 - 776