Practice Advisory for Postoperative Pain Management of Cardiac Surgical Patients: A Report by Society of Cardiovascular Anesthesiologists

被引：0

作者：

Makkad, Benu ^{[1
]}

Heinke, Timothy Lee ^{[2
]}

Sheriffdeen, Raiyah ^{[3
]}

Meng, Marie-Louise ^{[4
]}

Kachulis, Bessie ^{[5
]}

Grant, Michael Conrad ^{[6
]}

Popescu, Wanda Maria ^{[7
,8
]}

Brodt, Jessica Louise ^{[9
]}

Khatib, Diana ^{[10
]}

Wu, Christopher L. ^{[11
]}

Kertai, Miklos D. ^{[12
]}

Bollen, Bruce Allen ^{[13
,14
]}

机构：

[1] Univ Cincinnati, Coll Med, Dept Anesthesiol, 231 Albert Sabin Way,Suite 3502, Cincinnati, OH 45267 USA

[2] Med Univ South Carolina, Dept Anesthesia & Perioperat Med, Charleston, SC USA

[3] MedStar Washington Hosp Ctr, Dept Anesthesiol, Washington, DC USA

[4] Duke Univ, Med Ctr, Dept Anesthesiol, Durham, NC USA

[5] Columbia Univ, Dept Anesthesiol, New York, NY USA

[6] Johns Hopkins Univ, Sch Med, Dept Anesthesiol & Crit Care Med, Baltimore, MD USA

[7] Yale Sch Med, Dept Anesthesiol, New Haven, CT USA

[8] VA Connecticut Hlth Care Syst, West Haven, CT USA

[9] Stanford Univ, Dept Anesthesiol Perioperat & Pain Med, Stanford, CA 94305 USA

[10] Weill Cornell Med Coll, Psychopharmacol Clin, New York, NY 10021 USA

[11] Hosp Special Surg, Weill Cornell Med Coll, Dept Anesthesiol, New York, NY USA

[12] Vanderbilt Univ, Med Ctr, Dept Anesthesiol, 1211 Med Ctr Dr, Nashville, TN 37232 USA

[13] Missoula Anesthesiol, Dept Anesthesiol, Missoula, MT USA

[14] Int Heart Inst Montana, Missoula, MT USA

来源：

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA | 2025年 / 39卷 / 03期

关键词：

postoperative pain; cardiac surgery; around-the-clock nonopioid analgesia; regional analgesia; patient controlled analgesia; TENS therapy; acupressure; music and massage therapy; THORACIC EPIDURAL ANALGESIA; ELECTRICAL NERVE-STIMULATION; SERRATUS ANTERIOR PLANE; OPEN-HEART-SURGERY; ARTERY-BYPASS SURGERY; PARAVERTEBRAL BLOCK; MASSAGE THERAPY; DOUBLE-BLIND; BACKGROUND INFUSION; GENERAL-ANESTHESIA;

D O I：

10.1053/j.jvca.2024.10.014

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Moderate to severe pain after cardiac surgery is relatively common, which increases the risk of postoperative cardiopulmonary complications and delays hospital discharge. Opioids have been useful agents for postoperative pain control after cardiac surgery, but are associated with serious adverse effects. As a result, multimodal analgesia has been adopted widely to decrease reliance on opioids for treating postoperative pain, reduce opioid-related adverse effects, and promote early recovery. The advent of fascial plane blocks has expanded the use of regional analgesia for pain management after cardiac surgery that was otherwise limited due to the fear of devastating neurological sequelae in the setting of systemic anticoagulation. This practice advisory reviews and evaluates the recent literature related to the use of pharmacological and non-pharmacological therapies to treat pain after cardiac surgery to help providers with the selection of appropriate pain management interventions for their patients. (c) 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

引用

页码：770 / 784

页数：15

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