Pain management strategies for patients undergoing

Thoracic surgery clinics · Nov 2004

Review

Pain management strategies for patients undergoing extrapleural pneumonectomy.

The role of anesthetic or analgesic technique in outcome remains controversial. The choice of anesthetic and postoperative analgesic plan plays a small, albeit important, role in perioperative care and a multimodal rehabilitation program. Pulmonary complications are the most important cause of morbidity and mortality after EPP. There is increasing evidence that TEA with local anesthetic agents and opioids is superior for the control of dynamic pain, plays a key role in early extubation and mobilization, reduces postoperative pulmonary complications, and has the potential to decrease the incidence of PTPS.

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- Ju-Mei Ng and Philip M Hartigan.
- Department of Anesthesiology and Surgical Intensive Care, Singapore General Hospital, Outram Road, Singapore 169608, Republic of Singapore.
- Thorac Surg Clin. 2004 Nov 1;14(4):585-92.
AbstractThe role of anesthetic or analgesic technique in outcome remains controversial. The choice of anesthetic and postoperative analgesic plan plays a small, albeit important, role in perioperative care and a multimodal rehabilitation program. Pulmonary complications are the most important cause of morbidity and mortality after EPP. There is increasing evidence that TEA with local anesthetic agents and opioids is superior for the control of dynamic pain, plays a key role in early extubation and mobilization, reduces postoperative pulmonary complications, and has the potential to decrease the incidence of PTPS.

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Pain management strategies for patients undergoing extrapleural pneumonectomy.

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