For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
6
views
106
references
 Top references
cited by
7
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      117
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Persistent Pain After Cardiac Surgery: Prevention and Management

      review-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Persistent postoperative pain (PPP) after cardiac surgery is a significant complication that negatively affects patient quality of life and increases health care system burden. However, there are no standards or guidelines to inform how to mitigate these effects. Therefore, in this review, we will discuss strategies to prevent and manage PPP after cardiac surgery. Adequate perioperative analgesia may prove instrumental in the prevention of PPP. Although opioids have historically been the primary analgesic approach to cardiac surgery, an opioid-sparing strategy may prove advantageous in reducing side effects, avoiding secondary hyperalgesia, and decreasing risk of PPP. Implementing a multimodal analgesic plan using alternative medications and regional anesthetic techniques may offer superior efficacy while reducing adverse effects.

          Related collections

          Most cited references106

          • Record: found
          • Abstract: found
          • Article: not found

          Chronic pain as a symptom or a disease

          Rolf-Detlef Treede, Winfried Rief, Antonia Barke … (2019)
          Chronic pain is a major source of suffering. It interferes with daily functioning and often is accompanied by distress. Yet, in the International Classification of Diseases, chronic pain diagnoses are not represented systematically. The lack of appropriate codes renders accurate epidemiological investigations difficult and impedes health policy decisions regarding chronic pain such as adequate financing of access to multimodal pain management. In cooperation with the WHO, an IASP Working Group has developed a classification system that is applicable in a wide range of contexts, including pain medicine, primary care, and low-resource environments. Chronic pain is defined as pain that persists or recurs for more than 3 months. In chronic pain syndromes, pain can be the sole or a leading complaint and requires special treatment and care. In conditions such as fibromyalgia or nonspecific low-back pain, chronic pain may be conceived as a disease in its own right; in our proposal, we call this subgroup "chronic primary pain." In 6 other subgroups, pain is secondary to an underlying disease: chronic cancer-related pain, chronic neuropathic pain, chronic secondary visceral pain, chronic posttraumatic and postsurgical pain, chronic secondary headache and orofacial pain, and chronic secondary musculoskeletal pain. These conditions are summarized as "chronic secondary pain" where pain may at least initially be conceived as a symptom. Implementation of these codes in the upcoming 11th edition of International Classification of Diseases will lead to improved classification and diagnostic coding, thereby advancing the recognition of chronic pain as a health condition in its own right.
          Article 0 comments Cited 799 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            CDC Guideline for Prescribing Opioids for Chronic Pain--United States, 2016.

            Deborah Dowell, Tamara Haegerich, Roger Chou (2016)
            Primary care clinicians find managing chronic pain challenging. Evidence of long-term efficacy of opioids for chronic pain is limited. Opioid use is associated with serious risks, including opioid use disorder and overdose.
            Article 0 comments Cited 675 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found
              Is Open Access

              Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations: 2018

              U O Gustafsson, M Scott, M Hübner … (2018)
              This is the fourth updated Enhanced Recovery After Surgery (ERAS®) Society guideline presenting a consensus for optimal perioperative care in colorectal surgery and providing graded recommendations for each ERAS item within the ERAS® protocol.
              Article 0 comments Cited 515 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Journal
                Journal ID (nlm-ta): Semin Cardiothorac Vasc Anesth
                Journal ID (iso-abbrev): Semin Cardiothorac Vasc Anesth
                Journal ID (publisher-id): SCV
                Journal ID (hwp): spscv
                Title: Seminars in Cardiothoracic and Vascular Anesthesia
                Publisher: SAGE Publications (Sage CA: Los Angeles, CA )
                ISSN (Print): 1089-2532
                ISSN (Electronic): 1940-5596
                Publication date (Electronic): 20 August 2021
                Publication date (Print): December 2021
                Volume: 25
                Issue: 4 , Special Issue: Pain Management in Cardiothoracic Surgery
                Pages: 289-300
                Affiliations
                [1 ]University of North Carolina at Chapel Hill, NC, USA
                Author notes
                [*]Alan M. Smeltz, Department of Anesthesiology, University of North Carolina at Chapel Hill, 101 Manning Drive, Chapel Hill, NC 27514, USA. Email: alansmeltz@ 123456gmail.com
                Author information
                https://orcid.org/0000-0002-4772-8141
                https://orcid.org/0000-0001-9623-524X
                Article
                Publisher ID: 10.1177_10892532211041320
                DOI: 10.1177/10892532211041320
                PMC ID: 8669213
                PubMed ID: 34416847
                SO-VID: 138a6081-3fea-4b7b-915e-e7587689e1ee
                Copyright © © The Author(s) 2021
                License:

                This article is distributed under the terms of the Creative Commons Attribution 4.0 License ( https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                Categories
                Subject: Reviews
                Custom metadata
                typesetter ts10

                Keywords: cardiac surgery,persistent postoperative pain,multimodal analgesia,opioids,postoperative complications
                Data availability:
                Keywords: cardiac surgery, persistent postoperative pain, multimodal analgesia, opioids, postoperative complications

                Comments

                Comment on this article

                scite_

                Similar content117

                See all similar

                Cited by7

                See all cited by

                Most referenced authors1,502

                See all reference authors