Pain after sternotomy - review
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1016/j.bjane.2014.09.013 https://repositorio.unifesp.br/handle/11600/57652 |
Resumo: | Background and objective: Adequate analgesia after sternotomy reduces postoperative adverse events. There are various methods of treating pain after heart surgery, such as infiltration with a local anesthetic, nerve block, opioids, non-steroidal anti-inflammatory drugs, alpha-adrenergic agents, intrathecal and epidural techniques, and multimodal analgesia. Content: A review of the epidemiology, pathophysiology, prevention and treatment of pain after sternotomy. We also discuss the various analgesic therapeutic modalities, emphasizing advantages and disadvantages of each technique. Conclusions: Heart surgery is performed mainly via medium sternotomy, which results in significant postoperative pain and a non-negligible incidence of chronic pain. Effective pain control improves patient satisfaction and clinical outcomes. There is no clearly superior technique. It is believed that a combined multimodal analgesic regimen (using different techniques) is the best approach for treating postoperative pain, maximizing analgesia and reducing side effects. (C) 2015 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. |
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Pain after sternotomy - reviewDor após esternotomia - revisãoPainSternotomyPostoperative analgesiaDorEsternotomiaAnalgesia pós-operatóriaBackground and objective: Adequate analgesia after sternotomy reduces postoperative adverse events. There are various methods of treating pain after heart surgery, such as infiltration with a local anesthetic, nerve block, opioids, non-steroidal anti-inflammatory drugs, alpha-adrenergic agents, intrathecal and epidural techniques, and multimodal analgesia. Content: A review of the epidemiology, pathophysiology, prevention and treatment of pain after sternotomy. We also discuss the various analgesic therapeutic modalities, emphasizing advantages and disadvantages of each technique. Conclusions: Heart surgery is performed mainly via medium sternotomy, which results in significant postoperative pain and a non-negligible incidence of chronic pain. Effective pain control improves patient satisfaction and clinical outcomes. There is no clearly superior technique. It is believed that a combined multimodal analgesic regimen (using different techniques) is the best approach for treating postoperative pain, maximizing analgesia and reducing side effects. (C) 2015 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda.Justificativa e objetivo: Analgesia adequada após esternotomia reduz eventos adversos no pós-operatório. Várias modalidades estão disponíveis para tratamento da dor após cirurgia cardíaca: infiltração com anestésico local, bloqueio de nervos, opioides, anti-inflamatórios não esteroidais, agentes alfa-adrenérgicos, técnicas intratecais e epidurais e analgesia multimodal. Conteúdo: Foi feita uma revisão sobre epidemiologia, fisiopatologia, prevenção e tratamento da dor após esternotomia. Também fora discutidas as diversas modalidades terapêuticas analgésicas, com ênfase em vantagens e desvantagens de cada técnica. Conclusões: A cirurgia cardíaca é feita principalmente por esternotomia média, que resulta em dor significativa no pós-operatório e uma incidência não insignificante de dor crônica. O controle efetivo da dor melhora a satisfação dos pacientes e os desfechos clínicos. Nenhuma técnica é claramente superior. Acredita-se que um regime analgésico combinado multimodal (com várias técnicas) seja a melhor abordagem para tratar a dor pós-operatória, o que maximiza a analgesia e reduz os efeitos colaterais.Univ Fed Sao Paulo Unifesp, Escola Paulista Med, Sao Paulo, SP, BrazilUniv Fed Sao Paulo Unifesp, Dept Pain, Sao Paulo, SP, BrazilUniv Fed Sao Paulo Unifesp, Escola Paulista Med, Sao Paulo, SP, BrazilUniv Fed Sao Paulo Unifesp, Dept Pain, Sao Paulo, SP, BrazilWeb of ScienceElsevier Science Inc2020-08-14T13:44:25Z2020-08-14T13:44:25Z2016info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion395-401application/pdfapplication/pdfhttp://dx.doi.org/10.1016/j.bjane.2014.09.013Revista Brasileira De Anestesiologia. New York, v. 66, n. 4, p. 395-401, 2016.10.1016/j.bjane.2014.09.013WOS000380843400011-en.pdfWOS000380843400011-pt.pdf0034-7094S0034-70942016000400395https://repositorio.unifesp.br/handle/11600/57652WOS:000380843400011engporRevista Brasileira De AnestesiologiaNew Yorkinfo:eu-repo/semantics/openAccessSantana Huang, Ana Paula [UNIFEP]Sakata, Rioko Kimiko [UNIFESP]reponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-09T00:12:52Zoai:repositorio.unifesp.br/:11600/57652Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-09T00:12:52Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Pain after sternotomy - review Dor após esternotomia - revisão |
title |
Pain after sternotomy - review |
spellingShingle |
Pain after sternotomy - review Santana Huang, Ana Paula [UNIFEP] Pain Sternotomy Postoperative analgesia Dor Esternotomia Analgesia pós-operatória |
title_short |
Pain after sternotomy - review |
title_full |
Pain after sternotomy - review |
title_fullStr |
Pain after sternotomy - review |
title_full_unstemmed |
Pain after sternotomy - review |
title_sort |
Pain after sternotomy - review |
author |
Santana Huang, Ana Paula [UNIFEP] |
author_facet |
Santana Huang, Ana Paula [UNIFEP] Sakata, Rioko Kimiko [UNIFESP] |
author_role |
author |
author2 |
Sakata, Rioko Kimiko [UNIFESP] |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Santana Huang, Ana Paula [UNIFEP] Sakata, Rioko Kimiko [UNIFESP] |
dc.subject.por.fl_str_mv |
Pain Sternotomy Postoperative analgesia Dor Esternotomia Analgesia pós-operatória |
topic |
Pain Sternotomy Postoperative analgesia Dor Esternotomia Analgesia pós-operatória |
description |
Background and objective: Adequate analgesia after sternotomy reduces postoperative adverse events. There are various methods of treating pain after heart surgery, such as infiltration with a local anesthetic, nerve block, opioids, non-steroidal anti-inflammatory drugs, alpha-adrenergic agents, intrathecal and epidural techniques, and multimodal analgesia. Content: A review of the epidemiology, pathophysiology, prevention and treatment of pain after sternotomy. We also discuss the various analgesic therapeutic modalities, emphasizing advantages and disadvantages of each technique. Conclusions: Heart surgery is performed mainly via medium sternotomy, which results in significant postoperative pain and a non-negligible incidence of chronic pain. Effective pain control improves patient satisfaction and clinical outcomes. There is no clearly superior technique. It is believed that a combined multimodal analgesic regimen (using different techniques) is the best approach for treating postoperative pain, maximizing analgesia and reducing side effects. (C) 2015 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016 2020-08-14T13:44:25Z 2020-08-14T13:44:25Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.bjane.2014.09.013 Revista Brasileira De Anestesiologia. New York, v. 66, n. 4, p. 395-401, 2016. 10.1016/j.bjane.2014.09.013 WOS000380843400011-en.pdf WOS000380843400011-pt.pdf 0034-7094 S0034-70942016000400395 https://repositorio.unifesp.br/handle/11600/57652 WOS:000380843400011 |
url |
http://dx.doi.org/10.1016/j.bjane.2014.09.013 https://repositorio.unifesp.br/handle/11600/57652 |
identifier_str_mv |
Revista Brasileira De Anestesiologia. New York, v. 66, n. 4, p. 395-401, 2016. 10.1016/j.bjane.2014.09.013 WOS000380843400011-en.pdf WOS000380843400011-pt.pdf 0034-7094 S0034-70942016000400395 WOS:000380843400011 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
Revista Brasileira De Anestesiologia |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
395-401 application/pdf application/pdf |
dc.coverage.none.fl_str_mv |
New York |
dc.publisher.none.fl_str_mv |
Elsevier Science Inc |
publisher.none.fl_str_mv |
Elsevier Science Inc |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1814268292281401344 |