Practice Advisory for Preoperative and Intraoperative Pain Management of Cardiac Surgical Patients: Part 2.
Citation: Anesthesia & Analgesia. 137(1):26-47, 2023 Jul 01.PMID: 37326862Institution: MedStar Washington Hospital CenterDepartment: AnesthesiologyForm of publication: Journal ArticleMedline article type(s): Journal Article | Systematic ReviewSubject headings: *Cardiac Surgical Procedures | *Opioid-Related Disorders | Analgesics, Opioid/ae [Adverse Effects] | Analgesics/tu [Therapeutic Use] | Cardiac Surgical Procedures/ae [Adverse Effects] | Humans | Pain Management/mt [Methods] | Pain, Postoperative/di [Diagnosis] | Pain, Postoperative/dt [Drug Therapy] | Pain, Postoperative/et [Etiology] | Year: 2023Local holdings: Available online from MWHC library: 1957 - present, Available in print through MWHC library: 1999 - 2006ISSN:- 0003-2999
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 37326862 | Available | 37326862 |
Available online from MWHC library: 1957 - present, Available in print through MWHC library: 1999 - 2006
Pain after cardiac surgery is of moderate to severe intensity, which increases postoperative distress and health care costs, and affects functional recovery. Opioids have been central agents in treating pain after cardiac surgery for decades. The use of multimodal analgesic strategies can promote effective postoperative pain control and help mitigate opioid exposure. This Practice Advisory is part of a series developed by the Society of Cardiovascular Anesthesiologists (SCA) Quality, Safety, and Leadership (QSL) Committee's Opioid Working Group. It is a systematic review of existing literature for various interventions related to the preoperative and intraoperative pain management of cardiac surgical patients. This Practice Advisory provides recommendations for providers caring for patients undergoing cardiac surgery. This entails developing customized pain management strategies for patients, including preoperative patient evaluation, pain management, and opioid use-focused education as well as perioperative use of multimodal analgesics and regional techniques for various cardiac surgical procedures. The literature related to this field is emerging, and future studies will provide additional guidance on ways to improve clinically meaningful patient outcomes. Copyright © 2023 International Anesthesia Research Society.
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