Reducing Opioid Use in Patients Undergoing Cardiac Surgery - Preoperative, Intraoperative, and Critical Care Strategies

被引：24

作者：

Ochroch, Jason ^{[1
]}

Usman, Asad ^{[1
]}

Kiefer, Jesse ^{[1
]}

Pulton, Danielle ^{[1
]}

Shah, Ro ^{[1
]}

Grosh, Taras ^{[1
]}

Patel, Saumil ^{[1
]}

Vernick, William ^{[1
]}

Gutsche, Jacob T. ^{[1
]}

Raiten, Jesse ^{[1
]}

机构：

[1] Univ Penn, Dept Anesthesiol & Crit Care, Perelman Sch Med, 3400 Spruce St,Dulles 6, Philadelphia, PA 19104 USA

来源：

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA | 2021年 / 35卷 / 07期

关键词：

cardiac surgery; early recovery after surgery; opioid-sparing surgery; extracorporeal membrane oxygenation; sedation; opioid-free analgesia; fasttrack cardiac surgery; EXTRACORPOREAL MEMBRANE-OXYGENATION; THORACIC EPIDURAL ANALGESIA; BILATERAL STERNAL INFUSION; ARTERY-BYPASS SURGERY; ANTERIOR PLANE BLOCK; INTRAVENOUS ACETAMINOPHEN; POSTOPERATIVE PAIN; LIPOSOMAL BUPIVACAINE; GENERAL-ANESTHESIA; ERECTOR SPINAE;

D O I：

10.1053/j.jvca.2020.09.103

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Patients undergoing cardiothoracic surgery are exposed to opioids in the operating room and intensive care unit and after hospital discharge. Opportunities exist to reduce perioperative opioid use at all stages of care and include alternative oral and intravenous medications, novel intraoperative regional anesthetic techniques, and postoperative opioid-sparing sedative and analgesic strategies. In this review, currently used and investigational strategies to reduce the opioid burden for cardiothoracic surgical patients are explored. (C) 2020 Elsevier Inc. All rights reserved.

引用

页码：2155 / 2165

页数：11

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