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Neuraxial Anesthesia and Analgesia During Cardiothoracic Surgery: A Narrative Review.
- Source :
-
Current pain and headache reports [Curr Pain Headache Rep] 2024 May; Vol. 28 (5), pp. 315-319. Date of Electronic Publication: 2024 Mar 20. - Publication Year :
- 2024
-
Abstract
- Purpose of Review: The purpose of this review is to synthesize and examine the literature on the use of neuraxial anesthesia and analgesia during cardiothoracic surgery. As cardiothoracic procedures often require systemic anticoagulation, neuraxial techniques are quite often underutilized due to the theoretical risk of epidural hematoma. In this review, we seek to examine the literature to review the indications and contraindications and to explore if neuraxial anesthesia and analgesia has a role in cardiothoracic surgery.<br />Recent Findings: Neuraxial techniques have multiple advantages during cardiothoracic surgery including coronary vasodilation, decreased sympathetic surge, and a decreased cortisol level leading to overall reduction in stress response. Multiple studies have shown an improvement in pain scores, reduction in pulmonary complications, faster extubation times, with minimal complications when neuraxial techniques are utilized in cardiothoracic surgeries. Given the numerous advantages and minimal complications of neuraxial techniques in cardiothoracic surgeries, we hope its utilization continues to increase. Moving forward, we hope additional studies continue to reaffirm the benefits of neuraxial anesthesia and analgesia for cardiothoracic surgeries to improve its utilization.<br /> (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
- Subjects :
- Humans
Thoracic Surgical Procedures methods
Thoracic Surgical Procedures adverse effects
Analgesia methods
Pain, Postoperative prevention & control
Pain, Postoperative drug therapy
Anesthesia, Epidural methods
Pain Management methods
Cardiac Surgical Procedures adverse effects
Cardiac Surgical Procedures methods
Subjects
Details
- Language :
- English
- ISSN :
- 1534-3081
- Volume :
- 28
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Current pain and headache reports
- Publication Type :
- Academic Journal
- Accession number :
- 38507134
- Full Text :
- https://doi.org/10.1007/s11916-024-01235-5