Opioid-Based Anesthesia and Analgesia for Adult Cardiac Surgery: History and Narrative Review of the Literature.
acute pain
anesthetics
cardiac surgical procedures
hyperalgesia
opioid analgesics
thoracic surgery
Journal
Journal of cardiothoracic and vascular anesthesia
ISSN: 1532-8422
Titre abrégé: J Cardiothorac Vasc Anesth
Pays: United States
ID NLM: 9110208
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
received:
08
02
2018
pubmed:
2
8
2018
medline:
8
6
2019
entrez:
2
8
2018
Statut:
ppublish
Résumé
Opioids have played in a key role in cardiac anesthesia and analgesia since the early years of cardiac surgery. Today, opioids continue to be the primary mode for analgesia in cardiac surgery, yet there is considerable variability in the choice, dose and route of used. A history of the use of opioids in cardiothoracic anesthesia is presented, followed by an examination of the differences among current opioids in use and of outcome variables important in cardiac anesthesia, such as postoperative analgesia, extubation times, fast-track cardiac anesthesia, chronic neuropathic pain, and cardioprotection. Topical issues such as the role of perioperative opioid use in the global opioid crisis, opioid-sparing techniques and novel opioids in development are also discussed.
Identifiants
pubmed: 30064852
pii: S1053-0770(18)30386-0
doi: 10.1053/j.jvca.2018.05.053
pii:
doi:
Substances chimiques
Analgesics, Opioid
0
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
808-816Informations de copyright
Crown Copyright © 2018. Published by Elsevier Inc. All rights reserved.