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2024, Number 4

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Rev Mex Anest 2024; 47 (4)

Management of analgesia in thoracic surgery

Islas-Lagunas G, Alonso-Machorro A, Campos-Plascencia MA

Language: Spanish
References: 29
Page: 278-282
PDF size: 293.65 Kb.


ABSTRACT

Thoracic surgery is associated with severe acute and chronic pain; therefore, postoperative pain management is crucial for the success of the surgery. There are factors that can trigger greater pain in this procedure, and the anesthetic management and analgesic techniques used can help to better control moderate to severe pain. This review aims to conduct updated bibliographic research on the use of medications and various techniques used in multimodal analgesia in thoracic surgery, such as paravertebral block, epidural block, erector spinae plane block (ESP), or serratus anterior block, as well as intravenous or oral drugs that can improve analgesia. A systematic review of the literature was performed using the PubMed, Embase, and Scopus databases from January 2010 to January 2024, with the keywords "analgesia", "thoracic surgery", "postoperative pain", "nerve block". Studies in English and Spanish that discussed anesthesia techniques applied during thoracic surgery procedures were included. As a result, 27 articles were selected according to their importance and level of impact. In conclusion, multimodal analgesia is the tool we should utilize.


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