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Persistent Pain After Cardiac Surgery: Prevention and Management
Persistent postoperative pain (PPP) after cardiac surgery is a significant complication that negatively affects patient quality of life and increases health care system burden. However, there are no standards or guidelines to inform how to mitigate these effects. Therefore, in this review, we will d...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8669213/ https://www.ncbi.nlm.nih.gov/pubmed/34416847 http://dx.doi.org/10.1177/10892532211041320 |
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author | Krakowski, James C. Hallman, Matthew J. Smeltz, Alan M. |
author_facet | Krakowski, James C. Hallman, Matthew J. Smeltz, Alan M. |
author_sort | Krakowski, James C. |
collection | PubMed |
description | Persistent postoperative pain (PPP) after cardiac surgery is a significant complication that negatively affects patient quality of life and increases health care system burden. However, there are no standards or guidelines to inform how to mitigate these effects. Therefore, in this review, we will discuss strategies to prevent and manage PPP after cardiac surgery. Adequate perioperative analgesia may prove instrumental in the prevention of PPP. Although opioids have historically been the primary analgesic approach to cardiac surgery, an opioid-sparing strategy may prove advantageous in reducing side effects, avoiding secondary hyperalgesia, and decreasing risk of PPP. Implementing a multimodal analgesic plan using alternative medications and regional anesthetic techniques may offer superior efficacy while reducing adverse effects. |
format | Online Article Text |
id | pubmed-8669213 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-86692132021-12-15 Persistent Pain After Cardiac Surgery: Prevention and Management Krakowski, James C. Hallman, Matthew J. Smeltz, Alan M. Semin Cardiothorac Vasc Anesth Reviews Persistent postoperative pain (PPP) after cardiac surgery is a significant complication that negatively affects patient quality of life and increases health care system burden. However, there are no standards or guidelines to inform how to mitigate these effects. Therefore, in this review, we will discuss strategies to prevent and manage PPP after cardiac surgery. Adequate perioperative analgesia may prove instrumental in the prevention of PPP. Although opioids have historically been the primary analgesic approach to cardiac surgery, an opioid-sparing strategy may prove advantageous in reducing side effects, avoiding secondary hyperalgesia, and decreasing risk of PPP. Implementing a multimodal analgesic plan using alternative medications and regional anesthetic techniques may offer superior efficacy while reducing adverse effects. SAGE Publications 2021-08-20 2021-12 /pmc/articles/PMC8669213/ /pubmed/34416847 http://dx.doi.org/10.1177/10892532211041320 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Reviews Krakowski, James C. Hallman, Matthew J. Smeltz, Alan M. Persistent Pain After Cardiac Surgery: Prevention and Management |
title | Persistent Pain After Cardiac Surgery: Prevention and Management |
title_full | Persistent Pain After Cardiac Surgery: Prevention and Management |
title_fullStr | Persistent Pain After Cardiac Surgery: Prevention and Management |
title_full_unstemmed | Persistent Pain After Cardiac Surgery: Prevention and Management |
title_short | Persistent Pain After Cardiac Surgery: Prevention and Management |
title_sort | persistent pain after cardiac surgery: prevention and management |
topic | Reviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8669213/ https://www.ncbi.nlm.nih.gov/pubmed/34416847 http://dx.doi.org/10.1177/10892532211041320 |
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