Impact of acute pain and its management for thoracic surgical patients.
Impact of acute pain and its management for thoracic surgical patients.
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DOI：
10.1016/j.thorsurg.2004.08.004
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发表时间：
2005-02-01
影响因子：
2.1
通讯作者：
Gottschalk, Allan
中科院分区：
文献类型：
--
作者：
Ochroch, E Andrew;Gottschalk, Allan
开胸手术的围手术期镇痛随着疼痛对恢复的影响、疼痛的起源和治疗疼痛的新方法的认识的增加而发展，开胸手术是外科医生和麻醉师之间对积极的疼痛管理的重要性达成更普遍共识的少数几个领域之一，通常在开胸管取出之前留置硬膜外导管。这一共识的原因是，这两个专业越来越清楚，疼痛使肺储备下降的患者接受开胸手术的发病风险更大。未来的研究需要检查药物或药物组合，可以导致进一步减少接受积极硬膜外镇痛的患者仍然经历的强烈疼痛。仍然需要进行旨在寻找能够降低开胸术后长期疼痛发生率的干预措施的研究。
Perioperative analgesia for thoracotomy has evolved in concert with increasing knowledge of the impact of pain on recovery, the origin of this pain, and new methods for treating it. Thoracic surgery is one of the few areas where there is more general agreement between surgeons and anesthesiologists as to the importance of aggressive pain management, often with an indwelling epidural catheter left in place until after thoracostomy tube removal. The reasons for this agreement is that it has become increasingly clear to both specialties that pain puts patients with decreased pulmonary reserve who undergo thoracotomy at greater risk for morbidity. Future studies need to examine drugs or drug combinations that can lead to further reductions in the often intense pain that patients receiving aggressive epidural analgesia still experience. Studies directed at finding interventions capable of reducing the rate of long-term postthoracotomy pain still need to be performed.