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New developments in the treatment of acute pain after thoracic surgery.

Publication ,  Journal Article
Maxwell, C; Nicoara, A
Published in: Curr Opin Anaesthesiol
February 2014

PURPOSE OF REVIEW: This review examines recent advances and findings in the field of pain management in patients undergoing thoracic surgery. RECENT FINDINGS: Acute and chronic postoperative pain continues to remain a major problem and a primary concern for patients. Although thoracic epidural analgesia is still considered a 'gold standard', more evidence exists that paravertebral blockade has similar efficacy with a better side-effect and safety profile. The cornerstone of pain management remains a multimodal therapeutic strategy that provides both a central and a peripheral block by combining regional techniques with opioid and nonopioid analgesics. SUMMARY: Pain after thoracic surgery has a profound impact on perioperative outcome. Beyond the immediate perioperative period, acute pain contributes to the development of the debilitating chronic pain syndrome. Going forward, both procedural and pharmacologic interventions for acute and chronic pain should be studied in definitive multicenter, well designed randomized clinical trials.

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Published In

Curr Opin Anaesthesiol

DOI

EISSN

1473-6500

Publication Date

February 2014

Volume

27

Issue

1

Start / End Page

6 / 11

Location

United States

Related Subject Headings

  • Thoracic Surgical Procedures
  • Pain, Postoperative
  • Pain Measurement
  • Pain Management
  • Nerve Block
  • Humans
  • Anesthesiology
  • Anesthesia, Conduction
  • Acute Pain
  • 3202 Clinical sciences
 

Citation

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Maxwell, C., & Nicoara, A. (2014). New developments in the treatment of acute pain after thoracic surgery. Curr Opin Anaesthesiol, 27(1), 6–11. https://doi.org/10.1097/ACO.0000000000000029
Maxwell, Cory, and Alina Nicoara. “New developments in the treatment of acute pain after thoracic surgery.Curr Opin Anaesthesiol 27, no. 1 (February 2014): 6–11. https://doi.org/10.1097/ACO.0000000000000029.
Maxwell C, Nicoara A. New developments in the treatment of acute pain after thoracic surgery. Curr Opin Anaesthesiol. 2014 Feb;27(1):6–11.
Maxwell, Cory, and Alina Nicoara. “New developments in the treatment of acute pain after thoracic surgery.Curr Opin Anaesthesiol, vol. 27, no. 1, Feb. 2014, pp. 6–11. Pubmed, doi:10.1097/ACO.0000000000000029.
Maxwell C, Nicoara A. New developments in the treatment of acute pain after thoracic surgery. Curr Opin Anaesthesiol. 2014 Feb;27(1):6–11.

Published In

Curr Opin Anaesthesiol

DOI

EISSN

1473-6500

Publication Date

February 2014

Volume

27

Issue

1

Start / End Page

6 / 11

Location

United States

Related Subject Headings

  • Thoracic Surgical Procedures
  • Pain, Postoperative
  • Pain Measurement
  • Pain Management
  • Nerve Block
  • Humans
  • Anesthesiology
  • Anesthesia, Conduction
  • Acute Pain
  • 3202 Clinical sciences