Abstract

ISLAS-LAGUNAS, Gabriela  and  NORBERTO DE LA VEGA, Juana Abigail. Analgesia in thoracic surgery (thoracotomy). Rev. mex. anestesiol. [online]. 2019, vol.42, n.3, pp.206-206.  Epub Sep 13, 2021. ISSN 0484-7903.

Open thoracic surgery is among the most painful surgeries and its results are adversely affected by postoperative discomfort. The optimal analgesia in thoracotomy, the decrease in the consumption of narcotics, a rapid and predictable awakening, the prevention of adverse effects, the early mobilization and maneuvers of respiratory physiotherapy, as well as the safe use of drugs, are the most important strategies for optimal perioperative management. Until a few years ago, epidural analgesia was considered the gold standard, however, interventions such as paravertebral block have been evaluated as well. Post-thoracotomy pain syndrome (PTPS) is a well-recognized complication, its incidence varies between 15 and 67% according to the definition. This review includes recommendations of literature sources to be able to translate perioperative recommendations with the highest evidence level, this was done including a multidisciplinary team for the issuance of multimodal pain management (visit http://www.painoutmexico.com to see the full article and recommendations diagram).

Keywords : Thoracic surgery; posthoracotomy pain; multidisciplinary team; paravertebral block; multimodal analgesia.

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