Version 1
: Received: 30 July 2024 / Approved: 31 July 2024 / Online: 1 August 2024 (05:27:21 CEST)
How to cite:
Fernandes, R. M.; Pontes, J. P. J.; Rezende Borges, C. E.; de Brito Neto, D. R.; Pereira, A. D. J.; Carvalho, V. P.; Gomes, L. G.; Prado Silva, F. C. Multimodal Analgesia Strategies for Cardiac Surgery: A Literature Review. Preprints2024, 2024072580. https://doi.org/10.20944/preprints202407.2580.v1
Fernandes, R. M.; Pontes, J. P. J.; Rezende Borges, C. E.; de Brito Neto, D. R.; Pereira, A. D. J.; Carvalho, V. P.; Gomes, L. G.; Prado Silva, F. C. Multimodal Analgesia Strategies for Cardiac Surgery: A Literature Review. Preprints 2024, 2024072580. https://doi.org/10.20944/preprints202407.2580.v1
Fernandes, R. M.; Pontes, J. P. J.; Rezende Borges, C. E.; de Brito Neto, D. R.; Pereira, A. D. J.; Carvalho, V. P.; Gomes, L. G.; Prado Silva, F. C. Multimodal Analgesia Strategies for Cardiac Surgery: A Literature Review. Preprints2024, 2024072580. https://doi.org/10.20944/preprints202407.2580.v1
APA Style
Fernandes, R. M., Pontes, J. P. J., Rezende Borges, C. E., de Brito Neto, D. R., Pereira, A. D. J., Carvalho, V. P., Gomes, L. G., & Prado Silva, F. C. (2024). Multimodal Analgesia Strategies for Cardiac Surgery: A Literature Review. Preprints. https://doi.org/10.20944/preprints202407.2580.v1
Chicago/Turabian Style
Fernandes, R. M., Lucas Gonçalves Gomes and Fernando Cássio Prado Silva. 2024 "Multimodal Analgesia Strategies for Cardiac Surgery: A Literature Review" Preprints. https://doi.org/10.20944/preprints202407.2580.v1
Abstract
In cardiac surgery, post-sternotomy pain is a significant issue, peaking within 48 hours and requiring proper analgesia for both acute relief and to avoid chronicization. Opioids are commonly used for pain management post-surgery but pose risks like adverse effects and dependency. Post-cardiac surgery pain can stem from various sources - somatic, visceral, and neuropathic, making opioid reliance a concern. Multimodal analgesia, combining different medications and regional anesthesia techniques, is increasingly recommended to decrease opioid use and its related problems. Strategies include acetaminophen, gabapentinoids, NMDA antagonists, alpha-2 agonists, intravenous lidocaine, anti-inflammatory drugs, and regional anesthesia. Implementing these approaches can enhance pain control, lessen opioid reliance, and improve cardiac surgery outcomes. The ERAS® Cardiac Society strongly advocates for an opioid-sparing multimodal approach to benefit patient recovery by reducing complications and enhancing satisfaction. This review aims to consolidate current evidence to assist healthcare providers in customizing pain management for patients post-cardiac surgery, emphasizing reduced opioid use and optimizing the recovery process.
Medicine and Pharmacology, Anesthesiology and Pain Medicine
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
