Mijatovic Desimir, Bhalla Tarun, Farid Ibrahim
Pain Center, Akron Children's Hospital, Department of Anesthesia and Pain Medicine, Akron, Ohio, USA.
Saudi J Anaesth. 2021 Jul-Sep;15(3):341-347. doi: 10.4103/sja.SJA_743_20. Epub 2021 Jun 19.
Thoracotomy is considered one of the most painful operative procedures. Due to anatomical complexity, post-thoracotomy pain requires multimodal perioperative treatment to adequately manage to ensure proper postoperative recovery. There are several different strategies to control post-thoracotomy pain including interventional techniques, such as neuraxial and regional injections, and conservative treatments including medications, massage therapy, respiratory therapy, and physical therapy. This article describes different strategies and evidence base for their use.
开胸手术被认为是最痛苦的手术操作之一。由于解剖结构复杂，开胸手术后的疼痛需要多模式围手术期治疗来进行充分管理，以确保术后的顺利恢复。有几种不同的策略来控制开胸手术后的疼痛，包括介入技术，如神经轴和区域注射，以及保守治疗，包括药物治疗、按摩疗法、呼吸疗法和物理治疗。本文描述了不同的策略及其使用的证据基础。
