Regional analgesia for minimally invasive cardiac surgery

医学 重症监护室 麻醉 疼痛控制 术后疼痛 梅德林 心胸外科 止痛药 心脏外科 患者满意度 外科 重症监护医学 政治学 法学
作者
Soojie Yu,Marta Inés Berrío Valencia,V Roqués,Oscar Aljure
出处
期刊:Journal of Cardiac Surgery [Wiley]
卷期号:34 (11): 1289-1296 被引量:37
标识
DOI:10.1111/jocs.14177
摘要

Background Minimally invasive cardiac surgery (MICS) has expanded during the recent years due to interest in improved patient satisfaction and decreased stay in the hospital. To assist in these interests, postoperative pain control is aimed at decreasing opioid usage but maintaining adequate pain control. Regional anesthesia has the ability to provide these goals. This review article will describe different regional anesthesia techniques and discuss the evidence of their use in MICS. Methods A literature search was conducted in MEDLINE (PubMed) and EMBASE with keywords and narrowed to publications between 1998 and 2018. The results are reviewed, analyzed, and discussed in this paper. Results Thoracic epidurals provide improved pain control and decreased stay in the intensive care unit. Thoracic paravertebral blocks are as effective as thoracic epidurals for postoperative pain control. Serratus anterior plane block provides adequate pain control but does not control pain as well as paravertebral blocks. Intrapleural blocks provide sufficient pain control and can be placed by the surgeon. Pectoral fascial blocks, intercostal blocks, and erector spinae plane blocks described in case reports seem to be viable options for postoperative pain control. Conclusions As cardiac surgery moves toward smaller incisions and MICS with the goal of enhanced recovery, multimodal analgesic techniques should be explored for postoperative pain control. The regional techniques discussed in this article show a trend toward improved pain control and decreased stay in the intensive care unit.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
123123发布了新的文献求助10
2秒前
科研通AI5应助HLB采纳,获得10
2秒前
大模型应助蜕变采纳,获得10
2秒前
独特含烟完成签到,获得积分10
3秒前
rye227应助lxlxllx89采纳,获得10
3秒前
华仔应助吼吼吼吼采纳,获得10
6秒前
9秒前
9秒前
11秒前
123123发布了新的文献求助10
12秒前
14秒前
ning发布了新的文献求助10
14秒前
冰魂应助pipi采纳,获得10
15秒前
慕青应助li123xxx采纳,获得10
16秒前
独特含烟发布了新的文献求助10
17秒前
17秒前
金桔儿发布了新的文献求助10
18秒前
aaa完成签到,获得积分10
19秒前
清狂完成签到,获得积分10
22秒前
123木头人发布了新的文献求助10
22秒前
24秒前
科研通AI5应助研友_8YK7Pn采纳,获得10
24秒前
田様应助5433采纳,获得10
28秒前
29秒前
TIGun发布了新的文献求助10
31秒前
所所应助缓慢思枫采纳,获得10
31秒前
31秒前
32秒前
科研通AI5应助xiaoli采纳,获得10
32秒前
稳重寻雪发布了新的文献求助10
33秒前
酷波er应助陈龙111111采纳,获得10
34秒前
平常剑鬼发布了新的文献求助10
35秒前
35秒前
小虫学长应助lxlxllx89采纳,获得10
37秒前
37秒前
Nancy发布了新的文献求助10
37秒前
科研通AI5应助ira采纳,获得10
38秒前
清狂发布了新的文献求助30
38秒前
5433发布了新的文献求助10
40秒前
42秒前
高分求助中
【此为提示信息,请勿应助】请按要求发布求助,避免被关 20000
Continuum Thermodynamics and Material Modelling 2000
Encyclopedia of Geology (2nd Edition) 2000
105th Edition CRC Handbook of Chemistry and Physics 1600
Maneuvering of a Damaged Navy Combatant 650
Mixing the elements of mass customisation 300
the MD Anderson Surgical Oncology Manual, Seventh Edition 300
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 物理 生物化学 纳米技术 计算机科学 化学工程 内科学 复合材料 物理化学 电极 遗传学 量子力学 基因 冶金 催化作用
热门帖子
关注 科研通微信公众号,转发送积分 3778211
求助须知:如何正确求助?哪些是违规求助? 3323857
关于积分的说明 10216183
捐赠科研通 3039074
什么是DOI,文献DOI怎么找? 1667762
邀请新用户注册赠送积分活动 798383
科研通“疑难数据库(出版商)”最低求助积分说明 758366