000 02775nam a22003737a 4500
008 230628s20232023 xxu||||| |||| 00| 0 eng d
022 _a0003-2999
024 _a00000539-990000000-00560 [pii]
024 _a10.1213/ANE.0000000000006441 [doi]
040 _aOvid MEDLINE(R)
099 _a37079466
245 _aPractice Advisory for Preoperative and Intraoperative Pain Management of Thoracic Surgical Patients: Part 1.
251 _aAnesthesia & Analgesia. 2023 Apr 20
252 _aAnesth Analg. 2023 Apr 20
253 _aAnesthesia and analgesia
260 _c2023
260 _fFY2023
260 _p2023 Apr 20
265 _saheadofprint
265 _tPublisher
266 _d2023-06-28
501 _aAvailable online from MWHC library: 1957 - present, Available in print through MWHC library: 1999 - 2006
520 _aPain after thoracic surgery is of moderate-to-severe intensity and can cause increased postoperative distress and affect functional recovery. Opioids have been central agents in treating pain after thoracic surgery for decades. The use of multimodal analgesic strategies can promote effective postoperative pain control and help mitigate opioid exposure, thus preventing the risk of developing persistent postoperative pain. 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 thoracic surgical patients and provides recommendations for providers caring for patients undergoing thoracic surgery. This entails developing customized pain management strategies for patients, which includes preoperative patient evaluation, pain management, and opioid use-focused education as well as perioperative use of multimodal analgesics and regional techniques for various thoracic surgical procedures. The literature related to this field is emerging and will hopefully provide more information on ways to improve clinically relevant patient outcomes and promote recovery in the future. Copyright � 2023 International Anesthesia Research Society.
546 _aEnglish
650 _aIN PROCESS -- NOT YET INDEXED
650 _zAutomated
651 _aMedStar Washington Hospital Center
656 _aAnesthesiology
657 _aJournal Article
700 _aSheriffdeen, Raiyah
_bMWHC
790 _aBollen BA, Brodt JL, Grant MC, Heinke TL, Kachulis B, Khatib D, Makkad B, Meng ML, Popescu WM, Sheriffdeen R, Wu CL
856 _uhttps://dx.doi.org/10.1213/ANE.0000000000006441
_zhttps://dx.doi.org/10.1213/ANE.0000000000006441
942 _cART
_dArticle
999 _c12916
_d12916