Regional anesthesia and acute perioperative pain management in thoracic surgery: a narrative review.

ABSTRACT:

Background and objective

Thoracic surgery causes significant pain which can negatively affect pulmonary function and increase risk of postoperative complications. Effective analgesia is important to reduce splinting and atelectasis. Systemic opioids and thoracic epidural analgesia (TEA) have been used for decades and are effective at treating acute post-thoracotomy pain, although both have risks and adverse effects. The advancement of thoracoscopic surgery, a focus on multimodal and opioid-sparing analgesics, and the development of ultrasound-guided regional anesthesia techniques have greatly expanded the options for acute pain management after thoracic surgery. Despite the expansion of surgical techniques and analgesic approaches, there is no clear optimal approach to pain managem

SUBMITTER: Hamilton C 

PROVIDER: S-EPMC9264080 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature