Postoperative pain management after abdominal transplantations.

IF 2.3 3区 医学 Q2 ANESTHESIOLOGY
Current Opinion in Anesthesiology Pub Date : 2024-10-01 Epub Date: 2024-05-21 DOI:10.1097/ACO.0000000000001389
Boris Tufegdzic, Clara Lobo, Arun Kumar
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引用次数: 0

Abstract

Purpose of review: The aim of this review article is to present current recommendations as well as knowledge gaps and controversies pertaining to commonly utilized postoperative pain management after solid organ transplantation in the abdominal cavity.

Recent findings: Postsurgical pain has been identified as one of the major challenges in recovery and treatment after solid organ transplants. Many perioperative interventions and management strategies are available for reducing and managing postoperative pain. Management should be tailored to the individual needs, taking an interdisciplinary and holistic approach and following enhanced recovery after surgery guidelines. Many centers currently utilize peripheral and neuraxial blocks during transplantation surgery, but these techniques are far from standardized practices. The utilization of these procedures is often dependent on transplantation centers' historical methods and perioperative cultures.

Summary: The optimal pain management regimen has not yet been definitively established, and current scientific evidence does not yet support the endorsement of a certain analgesic approach. This objective necessitates the need for high-quality randomized controlled trials.

腹腔移植术后疼痛管理。
综述的目的:这篇综述文章旨在介绍当前的建议以及与腹腔内实体器官移植术后常用疼痛治疗方法有关的知识差距和争议:手术后疼痛已被确定为实体器官移植术后恢复和治疗的主要挑战之一。许多围手术期干预和管理策略可用于减轻和控制术后疼痛。应根据个人需求进行管理,采取跨学科的整体方法,并遵循加强术后恢复的指导原则。目前,许多中心在移植手术中使用外周阻滞和神经阻滞,但这些技术远未实现标准化。摘要:最佳疼痛治疗方案尚未明确确立,目前的科学证据也不支持采用某种镇痛方法。因此有必要进行高质量的随机对照试验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.90
自引率
8.00%
发文量
207
审稿时长
12 months
期刊介绍: ​​​​​​​​Published bimonthly and offering a unique and wide ranging perspective on the key developments in the field, each issue of Current Opinion in Anesthesiology features hand-picked review articles from our team of expert editors. With fifteen disciplines published across the year – including cardiovascular anesthesiology, neuroanesthesia and pain medicine – every issue also contains annotated references detailing the merits of the most important papers.
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