Innovative Approaches to Chronic Pain Management After Thoracic Surgery

Authors

  • Luiz Henrique Santos Centro Universitário Maurício de Nassau
  • Ruth Diniz Carneiro Leão
  • Lucas Diniz Carneiro Leão
  • Miguel Isaias Lopes Silveira
  • Giulia Gabrielly de Lima
  • Juan Braga Lousada Vidal
  • Luís Miguel Garcia de Castro
  • João Vitor Ferreira Assunção de Araújo
  • Beatriz Bomtempo de Siqueira
  • Beatriz Bomtempo de Siqueira
  • Maria Fernanda da Silva Rodrigues
  • Fernanda Fabíola Santos de Lima
  • Hialle Ferreira de Freitas Henrique
  • Williany Mirelly Lima Leal Soares
  • Débora Guimarães Alves
  • Paloma de Sousa Silva
  • Vasques Vinícius de França Landim Parente
  • Sérgio da Silva Ribeiro Filho
  • Danielle Morais Rosolem
  • Fabrícia Epaminondas Pereira
  • Rafaela Lúcio Moraes de Almeida
  • José Marcos Alves Soares da Silva

DOI:

https://doi.org/10.36557/2674-8169.2024v6n8p3634-3642

Keywords:

Regional Anesthesia; Postoperative Pain; Thoracic Surgery

Abstract

This study reviews innovative approaches to managing chronic pain following thoracic surgeries, focusing on the use of regional anesthesia techniques such as fascia and paravertebral blocks. The research was conducted using the PubMed indexer with the terms "Postoperative Pain Management," "Thoracic Surgery Pain," and "Novel Pain Treatments." The findings indicate that these regional techniques offer significant benefits compared to general anesthesia, including reduced opioid use, lower complication rates, and faster recovery. Additionally, the combination of these regional approaches with multimodal pain control strategies has been shown to improve clinical outcomes, particularly with the increasing use of ultrasound guidance for enhanced precision and safety in block placement.

Downloads

Download data is not yet available.

References

ALLEN, B. F. S., et al. Regional Anesthesia for Thoracic and Abdominal Surgery: Tips and Tricks for the Surgeon. *Am Surg*, 2023. PMID: 35798719. Review.

BATEMAN, R. M., et al. 36th International Symposium on Intensive Care and Emergency Medicine: Brussels, Belgium. 15-18 March 2016. *Crit Care*, 2016. PMID: 27885969. Free PMC article.

BIGELEISEN, P. E., et al. Novel approaches in pain management in cardiac surgery. *Curr Opin Anaesthesiol*, 2015. PMID: 25500688. Review.

BLISS, D. P. Jr., et al. Ultrasound-guided erector spinae plane block versus thoracic epidural analgesia: Postoperative pain management after Nuss repair for pectus excavatum. *J Pediatr Surg*, 2022. PMID: 34949445.

GÖTEYN, J., et al. Interfascial Plane Blocks Reduce Postoperative Pain and Morphine Consumption in Thoracic Outlet Decompression. *Ann Vasc Surg*, 2020. PMID: 31857230.

GÜRKAN, Y., et al. Erector spinae plane block and thoracic paravertebral block for breast surgery compared to IV-morphine: A randomized controlled trial. *J Clin Anesth*, 2020. PMID: 31280100. Clinical Trial.

GUPTA, R., et al. Post-Thoracotomy Pain: Current Strategies for Prevention and Treatment. *Drugs*, 2020. PMID: 32876936. Review.

KELAVA, M., et al. Regional Anesthesia in Cardiac Surgery: An Overview of Fascial Plane Chest Wall Blocks. *Anesth Analg*, 2020. PMID: 32032103. Review.

KIM, R. S., et al. Regional anesthesia techniques for cardiac surgery: where are we? *Curr Opin Anaesthesiol*, 2022. PMID: 35788542. Review.

KUMAR, A. K., et al. Pectointercostal Fascial Block (PIFB) as a Novel Technique for Postoperative Pain Management in Patients Undergoing Cardiac Surgery. *J Cardiothorac Vasc Anesth*, 2021. PMID: 32859487. Clinical Trial.

KUMAR, K. N., et al. Efficacy of bilateral pectoralis nerve block for ultrafast tracking and postoperative pain management in cardiac surgery. *Ann Card Anaesth*, 2018. PMID: 30052231. Free PMC article.

KWANTEN, L. E., et al. Opioid-Based Anesthesia and Analgesia for Adult Cardiac Surgery: History and Narrative Review of the Literature. *J Cardiothorac Vasc Anesth*, 2019. PMID: 30064852. Review.

LIU, G., et al. Effects of Ultrasound-Guided Transversus Thoracic Muscle Plane Block on Postoperative Pain and Side Effects: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. *J Cardiothorac Vasc Anesth*, 2023. PMID: 36435722. Review.

MOVING Toward Opioid-Free Breast Surgery: Regional Blocks and a Novel Technique. *Clin Plast Surg*, 2021. PMID: 33220899. Review.

TRANS MUSCULAR quadratus lumborum block versus thoracic paravertebral block for acute pain and quality of recovery after laparoscopic renal surgery: study protocol for a randomized controlled trial. *Trials*, 2019. PMID: 31109368. Free PMC article.

Published

2024-08-22

How to Cite

Santos, L. H., Diniz Carneiro Leão , R., Diniz Carneiro Leão, L., Isaias Lopes Silveira, M., Gabrielly de Lima, G., Braga Lousada Vidal, J., Luís Miguel Garcia de Castro, João Vitor Ferreira Assunção de Araújo, Beatriz Bomtempo de Siqueira, Beatriz Bomtempo de Siqueira, Maria Fernanda da Silva Rodrigues, Fernanda Fabíola Santos de Lima, Hialle Ferreira de Freitas Henrique, Williany Mirelly Lima Leal Soares, Débora Guimarães Alves, Paloma de Sousa Silva, Vasques Vinícius de França Landim Parente, Sérgio da Silva Ribeiro Filho, Danielle Morais Rosolem, Fabrícia Epaminondas Pereira, Rafaela Lúcio Moraes de Almeida, & José Marcos Alves Soares da Silva. (2024). Innovative Approaches to Chronic Pain Management After Thoracic Surgery. Brazilian Journal of Implantology and Health Sciences, 6(8), 3634–3642. https://doi.org/10.36557/2674-8169.2024v6n8p3634-3642