Perioperative analgesia for thoracic surgery
Vesna Novak Janković
; Clinical Department of Anaesthesiology and Intensive Therapy, University Medical Centre Ljubljana, Zaloška 2, 1000 Ljubljana, Slovenia
Iztok Potočnik ; Clinical Department of Anaesthesiology and Intensive Therapy, University Medical Centre Ljubljana, Zaloška 2, 1000 Ljubljana, Slovenia
Pain after thoracic surgery can be severe and it contribute to perioperative morbidity and mortality. After thoracotomy, pain can be result of many factors, including the skin incision and deeper tissue injuries and trauma, thoracostomy tubes, costovertebral joint disruption, rib and sternum fractures. The role of well planned pain management has been crucial in decreasing morbidity after major thoracic for lung resection. Many methods of analgesia have been described to surgery the posttoracotomy pain and prevent
the development of the postthoracotomy pain syndrome: modification of surgical technique, intercostal nerve block, intrapleural analgesia, lumbar and thoracic epidural, paravertebral block, intravenous narcotics together or without the use of nonsteroidal antiinflammatory drugs. Multimodal pain management strategies can improve postoperative pain management while
contributing other outcome benefits to our high-risk patient population.
Posjeta: 227 *