Pain after sternotomy - review

Detalhes bibliográficos
Autor(a) principal: Santana Huang, Ana Paula [UNIFEP]
Data de Publicação: 2016
Outros Autores: Sakata, Rioko Kimiko [UNIFESP]
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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spelling 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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