Khidr Alaa M, Senturk Mert, El-Tahan Mohamed R
Department of Anesthesiology, King Fahd Hospital of the University, College of Medicine, Imam Abdulrahman Bin Faisal University, Al Khobar, Saudi Arabia.
Department of Anesthesiology, College of Medicine, Istanbul University, Istanbul, Turkey.
Saudi J Anaesth. 2021 Jul-Sep;15(3):335-340. doi: 10.4103/sja.sja_1178_20. Epub 2021 Jun 19.
Continuous monitoring of clinical outcomes after thoracotomy is very important to improve medical services and to reduce complications. The use of regional analgesia techniques for thoracotomy offers several advantages in the perioperative period including effective pain control, reduced opioid consumption and associated side effects, enhanced recovery, and improved patient satisfaction. Postthoracotomy complications, such as chronic postthoracotomy pain syndrome, postthoracotomy ipsilateral shoulder pain, pulmonary complications, recurrence, and unplanned admission to the intensive care unit are frequent and may be associated with poor outcomes and mortality. The role of regional techniques to reduce the incidence of these complications is questionable. This narrative review aims to investigate the impact of regional analgesia on the long-term clinical outcomes after thoracotomy.
开胸术后持续监测临床结果对于改善医疗服务和减少并发症非常重要。开胸手术采用区域镇痛技术在围手术期具有诸多优势，包括有效的疼痛控制、减少阿片类药物的使用及相关副作用、促进恢复以及提高患者满意度。开胸术后并发症，如慢性开胸术后疼痛综合征、开胸术后同侧肩部疼痛、肺部并发症、复发以及意外入住重症监护病房等很常见，且可能与不良结局和死亡率相关。区域技术在降低这些并发症发生率方面的作用尚存在疑问。本叙述性综述旨在探讨区域镇痛对开胸术后长期临床结果的影响。
