Pain management strategies for patients undergoing extrapleural pneumonectomy
Aggressive management of acute postoperative pain after extrapleural pneumonectomy is essential to achieve extubation, limit perioperative pulmonary and cardiac complications, accelerate recovery, and prevent or alleviate chronic pain. Thoracic epidural analgesia using a synergistic combination of local anesthetics and narcotics is the most widely used, evidence-supported technique. Advantages and limitations of this and alternative or adjunctive analgesic regimens are discussed briefly.
aDepartment of Anesthesiology and Surgical Intensive Care, Singapore General Hospital, Outram Road, Singapore 169608, Republic of Singapore
bDepartment of Anesthesia, Harvard Medical School, 25 Shattuck Street, Boston Massachusetts 02115, USA
cDivision of Thoracic Anesthesia, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham & Women's Hospital, 75 Francis Street, Boston, MA 02115, USA
Corresponding author. Department of Anesthesia, Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115
ABSTRACT