Postoperative pain management

被引:50
作者
Kolettas, Alexandros [1 ]
Lazaridis, George [2 ]
Baka, Sofia [3 ]
Mpoukovinas, Ioannis [4 ]
Karavasilis, Vasilis [2 ]
Kioumis, Ioannis [5 ]
Pitsiou, Georgia [5 ]
Papaiwannou, Antonis [5 ]
Lampaki, Sofia [5 ]
Karavergou, Anastasia [5 ]
Pataka, Athanasia [5 ]
Machairiotis, Nikolaos [6 ]
Katsikogiannis, Nikolaos [6 ]
Mpakas, Andreas [7 ]
Tsakiridis, Kosmas [7 ]
Fassiadis, Nikolaos [8 ]
Zarogoulidis, Konstantinos [5 ]
Zarogoulidis, Paul [5 ]
机构
[1] St Luke Private Hosp, Anesthisiol Dept, Thessaloniki, Greece
[2] Aristotle Univ Sch Med, Department Med Oncol, Thessaloniki, Greece
[3] Interbalkan European Med Ctr, Dept Oncol, Thessaloniki, Greece
[4] BioMed Private Clin, Dept Oncol, Thessaloniki, Greece
[5] Aristotle Univ Thessaloniki, Pulm Oncol, G Papanikolaou Gen Hosp, GR-54006 Thessaloniki, Greece
[6] Univ Gen Hosp Alexandroupolis, Dept Surg, Alexandroupolis, Greece
[7] St Luke Private Hosp, Thorac Surg Dept, Thessaloniki, Greece
[8] Guys Hosp, Kings Coll, Vasc & Endovasc Surgeon, London, England
关键词
Pneumothorax; pain; surgery; THORACIC EPIDURAL-ANALGESIA; IPSILATERAL SHOULDER PAIN; INTERCOSTAL NERVE BLOCK; NONSTEROIDAL ANTIINFLAMMATORY DRUGS; INFLAMMATORY RESPONSE SYNDROME; TERM POSTTHORACOTOMY PAIN; LUNG-CANCER; CATAMENIAL PNEUMOTHORAX; 0.5-PERCENT BUPIVACAINE; PANCOAST TUMORS;
D O I
10.3978/j.issn.2072-1439.2015.01.15
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Postoperative pain is a very important issue for several patients. Indifferent of the surgery type or method, pain management is very necessary. The relief from suffering leads to early mobilization, less hospital stay, reduced hospital costs, and increased patient satisfaction. An individual approach should be applied for pain control, rather than a fix dose or drugs. Additionally, medical, psychological, and physical condition, age, level of fear or anxiety, surgical procedure, personal preference, and response to agents given should be taken into account. The major goal in the management of postoperative pain is minimizing the dose of medications to lessen side effects while still providing adequate analgesia. Again a multidisciplinary team approach should be pursued planning and formulating a plan for pain relief, particularly in complicated patients, such as those who have medical comorbidities. These patients might appear increase for analgesia-related complications or side effects.
引用
收藏
页码:S62 / S72
页数:11
相关论文
共 107 条
[1]   Right heart failure post left ventricular assist device implantation [J].
Argiriou, Mihalis ;
Kolokotron, Styliani-Maria ;
Sakellaridis, Timothy ;
Argiriou, Orestis ;
Charitos, Christos ;
Zarogoulidis, Paul ;
Katsikogiannis, Nikolaos ;
Kougioumtzi, Ioanna ;
Machairiotis, Nikolaos ;
Tsiouda, Theodora ;
Tsakiridis, Kosmas ;
Zarogoulidis, Konstantinos .
JOURNAL OF THORACIC DISEASE, 2014, 6 :S52-S59
[2]   COMPARISON OF DIFFERENT METHODS OF POSTOPERATIVE ANALGESIA AFTER THORACOTOMY [J].
ASANTILA, R ;
ROSENBERG, PH ;
SCHEININ, B .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1986, 30 (06) :421-425
[3]   VERTICAL AXILLARY THORACOTOMY - FUNCTIONAL AND COSMETICALLY APPEALING INCISION [J].
BAEZA, OR ;
FOSTER, ED .
ANNALS OF THORACIC SURGERY, 1976, 22 (03) :287-288
[4]   Application of flexible bronchoscopy in inhalation lung injury [J].
Bai, Chong ;
Huang, Haidong ;
Yao, Xiaopeng ;
Zhu, Shihui ;
Li, Bing ;
Hang, Jingqing ;
Zhang, Wei ;
Zarogoulidis, Paul ;
Gschwendtner, Andreas ;
Zarogoulidis, Konstantinos ;
Li, Qiang ;
Simoff, Michael .
DIAGNOSTIC PATHOLOGY, 2013, 8
[5]   Pneumothorax after transbronchial needle biopsy [J].
Boskovic, Tatjana ;
Stojanovic, Milos ;
Stanic, Jelena ;
Karan, Slobodanka Pena ;
Vujasinovic, Gordana ;
Dragisic, Dragan ;
Zarogoulidis, Konstantinos ;
Kougioumtzi, Ioanna ;
Dryllis, Georgios ;
Kioumis, Ioannis ;
Pitsiou, Georgia ;
Machairiotis, Nikolaos ;
Katsikogiannis, Nikolaos ;
Papaiwannou, Antonis ;
Madesis, Athanasios ;
Diplaris, Konstantinos ;
Karaiskos, Theodoros ;
Zaric, Bojan ;
Branislav, Perin ;
Zarogoulidis, Paul .
JOURNAL OF THORACIC DISEASE, 2014, 6 :S427-S434
[6]   Pneumothorax after transthoracic needle biopsy of lung lesions under CT guidance [J].
Boskovic, Tatjana ;
Stanic, Jelena ;
Pena-Karan, Slobodanka ;
Zarogoulidis, Paul ;
Drevelegas, Kostas ;
Katsikogiannis, Nikolaos ;
Machairiotis, Nikolaos ;
Mpakas, Andreas ;
Tsakiridis, Kosmas ;
Kesisis, Georgios ;
Tsiouda, Theodora ;
Kougioumtzi, Ioanna ;
Arikas, Stamatis ;
Zarogoulidis, Konstantinos .
JOURNAL OF THORACIC DISEASE, 2014, 6 :S99-S107
[7]  
Bridenbaugh PhilipO., 1998, NEURAL BLOCKADE CLIN, V3rd Edn, P203
[8]   Bronchoscopic interventions for severe COPD [J].
Browning, Robert F. ;
Parrish, Scott ;
Sarkar, Saiyad ;
Krimsky, William ;
Turner, J. Francis, Jr. ;
Zarogoulidis, Konstantinos ;
Kougioumtzi, Ioanna ;
Dryllis, Georgios ;
Kioumis, Ioannis ;
Pitsiou, Georgia ;
Machairiotis, Nikolaos ;
Katsikogiannis, Nikolaos ;
Courcoutsakis, Nikolaos ;
Madesis, Athanasios ;
Diplaris, Konstantinos ;
Karaiskos, Theodoros ;
Zarogoulidis, Paul .
JOURNAL OF THORACIC DISEASE, 2014, 6 :S407-S415
[9]   RENAL EFFECTS AND COMPLICATIONS OF NSAIDS FOR ROUTINE POSTOPERATIVE PAIN RELIEF - INCREASED AWARENESS OF A REAL PROBLEM IS NEEDED [J].
BUGGE, JF .
BAILLIERES CLINICAL ANAESTHESIOLOGY, 1995, 9 (03) :483-492
[10]  
Camu F, 1992, Drugs, V44 Suppl 5, P42