Acute pain management for patients undergoing thoracotomy.
نویسندگان
چکیده
Management of thoracotomy pain can be difficult, but the benefits of effective pain control are significant. A variety of modalities for treating postoperative pain after thoracotomy are available, including systemic opiates, regional analgesics, and new oral and parenteral agents. This work provides a review of the literature and recommendations for the clinician.
منابع مشابه
بررسی کاربرد بی دردی رژیونال اینترپلورال در بیماران تحت عمل جراحی توراکوتومی در بیمارستان قائم مشهد
Background: The management of post-thoracotmy pain is an important issue and may lead to atelectasis, hypoxemia, pulmonary infection, and permanent alveolar damage. The purpose of the present study was to investigate the efficacy of Interpleurl Regional (IP) analgesia with Bupivacaine after thoracotomy for pain control . Material ...
متن کاملPBLD: Morbidly Obese Patient Undergoing Thoracotomy
1. Discuss the preoperative evaluation for a morbidly obese patient undergoing thoracotomy 2. Develop a plan for airway management in a morbidly obese patient 3. Discuss strategies for lung isolation in morbidly obese patients 4. Present the rationale between choosing pressure control or volume control ventilation 5. Discuss pain management strategies for thoracotomy in morbidly obese patients ...
متن کاملSerratus anterior plane block: a new analgesic technique for post-thoracotomy pain.
Pain following thoracotomy is of moderate to severe nature. Management of thoracotomy pain is a challenging task. Post thoracotomy pain has acute effects in the post operative period by affecting respiratory mechanics, which increases the morbidity. Poorly controlled thoracotomy pain in the acute phase may also lead to the development of a chronic pain syndrome. A young male patient underwent e...
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Background and Aim: Gabapentin is one of the anticonvulsive drugs which can be effective for the management of painful situations such as neuropathies, post herpetic neuralgias and perioperative pains. In the present study, we evaluated the efficacy of 600 mg oral gabapentin administered as a premedication on post thoracotomy pain and total morphine consumption. Patients and Methods: In th...
متن کاملThe role of intercostal nerve preservation in acute pain control after thoracotomy*
OBJECTIVE To evaluate whether the acute pain experienced during in-hospital recovery from thoracotomy can be effectively reduced by the use of intraoperative measures (dissection of the neurovascular bundle prior to the positioning of the Finochietto retractor and preservation of the intercostal nerve during closure). METHODS We selected 40 patients who were candidates for elective thoracotom...
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ورودعنوان ژورنال:
- The Annals of thoracic surgery
دوره 75 4 شماره
صفحات -
تاریخ انتشار 2003