Multimodal Analgesia Strategies for Cardiac Surgery: A Literature Review

Hearts, Journal Year: 2024, Volume and Issue: 5(3), P. 349 - 364

Published: Aug. 21, 2024

In cardiac surgery, poststernotomy pain is a significant issue, peaking within 48 h and requiring proper analgesia for both acute relief avoidance of chronicization. Opioids are commonly used management postsurgery but pose risks such as adverse effects dependency. Post-cardiac surgery can stem from various sources—somatic, visceral, neuropathic—making opioid reliance concern. Multimodal analgesia, which combines different medications regional anesthesia techniques, increasingly recommended to decrease use its related problems. Strategies include acetaminophen, gabapentinoids, NMDA antagonists, alpha-2 agonists, intravenous lidocaine, anti-inflammatory drugs, anesthesia. These approaches enhance control, reduce reliance, improve outcomes. The ERAS® Cardiac Society strongly advocates an opioid-sparing multimodal approach patient recovery by reducing complications increasing satisfaction. This review aims consolidate current evidence assist healthcare providers in customizing patients post-cardiac emphasizing reduced optimizing the process.

Language: Английский

Intraoperative Pectoral Nerve Blocks During Cardiac Implantable Electronic Device Procedures

Heart Rhythm, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 1, 2024

Language: Английский