机构:
Univ Hosp Muenster, Dept Anesthesiol & Intens Care, Munster, GermanyRoyal Perth Hosp, UWA Anaesthesia, Dept Anaesthesia & Pain Med, Perth, WA 6847, Australia
Wenk, Manuel
[2
]
Schug, Stephan A.
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Royal Perth Hosp, UWA Anaesthesia, Dept Anaesthesia & Pain Med, Perth, WA 6847, Australia
Univ Western Australia, Sch Med & Pharmacol, Pharmacol & Anaesthesiol Unit, Perth, WA 6009, AustraliaRoyal Perth Hosp, UWA Anaesthesia, Dept Anaesthesia & Pain Med, Perth, WA 6847, Australia
Schug, Stephan A.
[1
,3
]
机构:
[1] Royal Perth Hosp, UWA Anaesthesia, Dept Anaesthesia & Pain Med, Perth, WA 6847, Australia
Purpose of review Perioperative acute pain and the development of persistent pain after thoracotomy are major problems severely affecting health-related quality of life. This review examines and highlights recent strategies and advances in perioperative pain management in this field. Recent findings Despite the fact that thoracic epidural analgesia (TEA) is considered the 'gold standard' of perioperative care after thoracotomy, other local and regional techniques have emerged within recent years and seem to become valid alternatives to TEA. The use of continuous paravertebral blockade, in particular, may provide similar analgesia and fewer adverse effects than TEA. Multimodal systemic approaches, including the use of ketamine and gabapentinoids are being investigated as well as the effect of surgical techniques and adjuvant therapies such as transcutaneous electrical nerve stimulation on post-thoracotomy pain. Summary Even though thoracotomy is associated with significant postoperative complications, a growing understanding of the underlying pathophysiology and advances in multimodal pain therapy concepts in this specific group of patients are promising improved postoperative outcomes and potential reduction of the incidence of persistent pain.
机构:
Mayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USAMayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USA
Allen, Mark S.
Halgren, Lisa
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机构:
Mayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USAMayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USA
Halgren, Lisa
Nichols, Francis C., III
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机构:
Mayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USAMayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USA
Nichols, Francis C., III
Cassivi, Stephen D.
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Mayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USAMayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USA
Cassivi, Stephen D.
Harmsen, William S.
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机构:
Mayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USAMayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USA
Harmsen, William S.
Wigle, Dennis A.
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Mayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USAMayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USA
Wigle, Dennis A.
Shen, K. Robert
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机构:
Mayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USAMayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USA
Shen, K. Robert
Deschamps, Claude
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机构:
Mayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USAMayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USA
机构:
Royal Coll Surgeons England, Clin Effectiveness Unit, Natl Collaborating Ctr Acute Care, London WC2A 3PN, EnglandUCL, Dept Math, Clin Operat Res Unit, London WC1H 0BT, England
Chong, Lee-Yee
Treasure, Tom
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机构:
UCL, Dept Math, Clin Operat Res Unit, London WC1H 0BT, EnglandUCL, Dept Math, Clin Operat Res Unit, London WC1H 0BT, England
机构:
Mayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USAMayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USA
Allen, Mark S.
Halgren, Lisa
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h-index: 0
机构:
Mayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USAMayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USA
Halgren, Lisa
Nichols, Francis C., III
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h-index: 0
机构:
Mayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USAMayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USA
Nichols, Francis C., III
Cassivi, Stephen D.
论文数: 0引用数: 0
h-index: 0
机构:
Mayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USAMayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USA
Cassivi, Stephen D.
Harmsen, William S.
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h-index: 0
机构:
Mayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USAMayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USA
Harmsen, William S.
Wigle, Dennis A.
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h-index: 0
机构:
Mayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USAMayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USA
Wigle, Dennis A.
Shen, K. Robert
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h-index: 0
机构:
Mayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USAMayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USA
Shen, K. Robert
Deschamps, Claude
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机构:
Mayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USAMayo Clin, Dept Surg, Div Gen Thorac Surg, Sch Med, Rochester, MN 55905 USA
机构:
Royal Coll Surgeons England, Clin Effectiveness Unit, Natl Collaborating Ctr Acute Care, London WC2A 3PN, EnglandUCL, Dept Math, Clin Operat Res Unit, London WC1H 0BT, England
Chong, Lee-Yee
Treasure, Tom
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Dept Math, Clin Operat Res Unit, London WC1H 0BT, EnglandUCL, Dept Math, Clin Operat Res Unit, London WC1H 0BT, England