Pain after sternotomy - Review

Revista brasileira de anestesiologia
Ana Paula Santana Huang, Rioko Kimiko Sakata

Abstract

Adequate analgesia after sternotomy reduces postoperative adverse events. There are various methods of treating pain after heart surgery, such as infiltration with a local anesthetic, nerve block, opioids, non-steroidal anti-inflammatory drugs, alpha-adrenergic agents, intrathecal and epidural techniques, and multimodal analgesia. A review of the epidemiology, pathophysiology, prevention and treatment of pain after sternotomy. We also discuss the various analgesic therapeutic modalities, emphasizing advantages and disadvantages of each technique. Heart surgery is performed mainly via medium sternotomy, which results in significant postoperative pain and a non-negligible incidence of chronic pain. Effective pain control improves patient satisfaction and clinical outcomes. There is no clearly superior technique. It is believed that a combined multimodal analgesic regimen (using different techniques) is the best approach for treating postoperative pain, maximizing analgesia and reducing side effects.

Associated Clinical Trials

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Citations

Jan 3, 2018·A&A Practice·Victor LiuChristopher Prabhakar
Jun 21, 2017·Regional Anesthesia and Pain Medicine·Satoru FujiiJian Zhou
Jan 10, 2019·Journal of Cardiac Surgery·Sameer A HirjiMarc P Pelletier
Sep 25, 2017·Regional Anesthesia and Pain Medicine·Amanda M KleimanJulie L Huffmyer
Jul 30, 2020·Journal of Cardiothoracic Surgery·Ling-Chen HuangXiao-Fu Dai
Jul 18, 2018·The Korean Journal of Pain·Parineeta Thapa, Pramote Euasobhon
Dec 29, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Yang ZhangShibiao Chen
Jul 30, 2018·Journal of Cardiothoracic and Vascular Anesthesia·Siva N KrishnaAkshay K Bisoi
Oct 4, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Yang ZhangShibiao Chen

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