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Post-Thoracotomy Pain: Current Strategies for Prevention and Treatment by Gupta, Ruchir; Van de Ven, Thomas; Pyati, Srinivas is a Medicine article available to read on EtoBox.

What is Post-Thoracotomy Pain: Current Strategies for Prevention and Treatment about?

Treating acute pain after thoracotomy surgery and preventing the development of chronic post-thoracotomy pain syndrome (PTPS) remain significant challenges in this surgical population. While appropriately treated acute thoracotomy pain often resolves, a significant number of patients develop PTPS, with up to 65% of patients experiencing some pain and 10% suffering life-altering, debilitating pain. Currently, there is very little known about specific molecular targets or novel therapeutic combinations that effectively prevent PTPS. Identifying modifiable clinical risk factors (procedure, physical and mental health, preoperative pain in the surgical area and another regions) seems to the most pragmatic approach for prevention for now. Effective acute pain management adopting a multimodal approach can result in a decreased incidence of PTPS. Interventional techniques such as paraverterbral blocks, intercostal blocks, and erector spinae blocks show some promise as well. Future research should be focused on minimally invasive surgeries and also the effect of ERAS protocols, including early mobilization, nutrition, and early removal of drains, on the development of PTPS.

Who reads Post-Thoracotomy Pain: Current Strategies for Prevention and Treatment?

Author

Gupta, Ruchir; Van de Ven, Thomas; Pyati, Srinivas

Publisher

Springer International Publishing AG; Springer-Verlag; Adis International Ltd.; Springer Science and Business Media LLC; Research Square (ISSN 0012-6667)

Published

2020

Language

EN

Field

Medicine (Health Sciences)