• Semin Cardiothorac Vasc Anesth · Mar 2014

    Review

    Pain management strategies for thoracotomy and thoracic pain syndromes.

    • Brandi A Bottiger, Stephen A Esper, and Mark Stafford-Smith.
    • 1Duke University Medical Center, Durham, NC, USA.
    • Semin Cardiothorac Vasc Anesth. 2014 Mar 1;18(1):45-56.

    AbstractPain after thoracic surgery can be severe and, in the acute phase, contribute to perioperative morbidity and mortality. Unfortunately, patients also incur a significant risk of chronic pain. Although there are guidelines for postoperative pain management in these patients, there is no widespread surgical or anesthetic "best practice." Here, we review the recent literature on techniques specific to perioperative pain control for thoracic patients, including medical management, neuraxial blockade, and other regional techniques, and suggest an algorithm for developing a multimodal pain management strategy.

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