Does thoracic epidural anaesthesia constitute over-instrumentation in video- and robotic-assisted thoracoscopic lung parenchyma resections?
Journal
Current opinion in anaesthesiology
ISSN: 1473-6500
Titre abrégé: Curr Opin Anaesthesiol
Pays: United States
ID NLM: 8813436
Informations de publication
Date de publication:
01 Apr 2021
01 Apr 2021
Historique:
pubmed:
26
2
2021
medline:
6
3
2021
entrez:
25
2
2021
Statut:
ppublish
Résumé
Effective and sustained perioperative analgesia in thoracic surgery and pulmonary resection is beneficial to patients by reducing both postoperative pulmonary complications and the incidence of chronic pain. In this review, the indication of thoracic epidural anaesthesia in video- (VATS) and robotic-assisted (RATS) thoracoscopy shall be critically objectified and presented in a differentiated way. Pain following VATS and RATS has a negative influence on lung function by inhibiting deep respiration, suppressing coughing and secretion and favours the development of atelectasis, pneumonia and other postoperative pulmonary complications.In addition, inadequate pain therapy after these procedures may lead to chronic pain. Since clear evidence-based recommendations for optimal postoperative analgesia are still lacking in VATS and RATS, there can be no universal recommendation that fits all centres and patients. In this context, thoracic epidural analgesia is the most effective analgesia procedure for perioperative pain control in VATS and RATS-assisted surgery for patients with pulmonary risk factors.
Identifiants
pubmed: 33630772
doi: 10.1097/ACO.0000000000000975
pii: 00001503-202104000-00024
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
199-203Informations de copyright
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Références
O'Sullivan KE, Kreaden US, Hebert AE, et al. A systematic review of robotic versus open and video assisted thoracoscopic surgery (VATS) approaches for thymectomy. Ann Cardiothorac Surg 2019; 8:174–193.
Veronesi G, Novellis P, Voulaz E, Alloisio M. Robot-assisted surgery for lung cancer: state of the art and perspectives. Lung Cancer 2016; 101:28–34.
Kanzaki M. Current status of robot-assisted thoracoscopic surgery for lung cancer. Surg Today 2019; 49:795–802.
Kent M, Wang T, Whyte R, et al. Open, video-assisted thoracic surgery, and robotic lobectomy: review of a national database. Ann Thorac Surg 2014; 97:236–242. discussion 42-4.
Yan TD, Black D, Bannon PG, McCaughan BC. Systematic review and meta-analysis of randomized and nonrandomized trials on safety and efficacy of video-assisted thoracic surgery lobectomy for early-stage nonsmall-cell lung cancer. J Clin Oncol 2009; 27:2553–2562.
Nwogu CE, D’Cunha J, Pang H, et al. VATS lobectomy has better perioperative outcomes than open lobectomy: CALGB 31001, an ancillary analysis of CALGB 140202 (Alliance). Ann Thorac Surg 2015; 99:399–405.
Falcoz PE, Puyraveau M, Thomas PA, et al. Video-assisted thoracoscopic surgery versus open lobectomy for primary nonsmall-cell lung cancer: a propensity-matched analysis of outcome from the European Society of Thoracic Surgeon database. Eur J Cardiothorac Surg 2016; 49:602–609.
Yang CF, Sun Z, Speicher PJ, et al. Use and outcomes of minimally invasive lobectomy for Stage I non-small cell lung cancer in the National Cancer Data Base. Ann Thorac Surg 2016; 101:1037–1042.
Neustein SM, McCormick PJ. Postoperative analgesia after minimally invasive thoracoscopy: what should we do? Can J Anaesth 2011; 58:423–425. 5-7.
Siu E, Quick JS, Xu X, Correll DJ. Evaluation of the determinants of satisfaction with postoperative pain control after thoracoscopic surgery: a single-center, survey-based study. Anesth Analg 2019; 128:555–562.
Flores RM, Alam N. Video-assisted thoracic surgery lobectomy (VATS), open thoracotomy, and the robot for lung cancer. Ann Thorac Surg 2008; 85:S710–S715.
Ng A, Swanevelder J. Pain relief after thoracotomy: is epidural analgesia the optimal technique? Br J Anaesth 2007; 98:159–162.
Steinthorsdottir KJ, Wildgaard L, Hansen HJ, et al. Regional analgesia for video-assisted thoracic surgery: a systematic review. Eur J Cardiothorac Surg 2014; 45:959–966.
Shanthanna H, Moisuik P, O’Hare T, et al. Survey of postoperative regional analgesia for thoracoscopic surgeries in Canada. J Cardiothorac Vasc Anesth 2018; 32:1750–1755.
Maier C, Nestler N, Richter H, et al. The quality of pain management in German hospitals. Dtsch Arztebl Int 2010; 107:607–614.
Gerbershagen HJ, Aduckathil S, van Wijck AJ, et al. Pain intensity on the first day after surgery: a prospective cohort study comparing 179 surgical procedures. Anesthesiology 2013; 118:934–944.
Kehlet H, Jensen TS, Woolf CJ. Persistent postsurgical pain: risk factors and prevention. Lancet 2006; 367:1618–1625.
Wildgaard K, Ringsted TK, Hansen HJ, et al. Persistent postsurgical pain after video-assisted thoracic surgery – an observational study. Acta Anaesthesiol Scand 2016; 60:650–658.
Yie JC, Yang JT, Wu CY, et al. Patient-controlled analgesia (PCA) following video-assisted thoracoscopic lobectomy: comparison of epidural PCA and intravenous PCA. Acta Anaesthesiol 2012; 50:92–95.
Sztain JF, Gabriel RA, Said ET. Thoracic epidurals are associated with decreased opioid consumption compared to surgical infiltration of liposomal bupivacaine following video-assisted thoracoscopic surgery for lobectomy: a retrospective cohort analysis. J Cardiothorac Vasc Anesth 2019; 33:694–698.
Yeap YL, Wolfe JW, Backfish-White KM, et al. Randomized prospective study evaluating single-injection paravertebral block, paravertebral catheter, and thoracic epidural catheter for postoperative regional analgesia after video-assisted thoracoscopic surgery. J Cardiothorac Vasc Anesth 2020; 34:1870–1876.
Moen V, Dahlgren N, Irestedt L. Severe neurological complications after central neuraxial blockades in Sweden 1990-1999. Anesthesiology 2004; 101:950–959.
Volk T, Wolf A, Van Aken H, et al. Incidence of spinal haematoma after epidural puncture: analysis from the German network for safety in regional anaesthesia. Eur J Anaesthesiol 2012; 29:170–176.
Horlocker TT, Wedel DJ, Rowlingson JC, et al. Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Third Edition). Reg Anesth Pain Med 2010; 35:64–101.
Horlocker TT, Wedel DJ, Rowlingson JC, Enneking FK. American College of Chest P. Executive summary: regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Third Edition). Reg Anesth Pain Med 2010; 35:102–105.
Bayman EO, Parekh KR, Keech J, et al. A prospective study of chronic pain after thoracic surgery. Anesthesiology 2017; 126:938–951.
Arends S, Bohmer AB, Poels M, et al. Postthoracotomy pain syndrome: seldom severe, often neuropathic, treated unspecific, and insufficient. Pain Rep 2020; 5:e810.
Tiippana E, Nilsson E, Kalso E. Postthoracotomy pain after thoracic epidural analgesia: a prospective follow-up study. Acta Anaesthesiol Scand 2003; 47:433–438.
Hirai K, Usuda J. Uniportal video-assisted thoracic surgery reduced the occurrence of postthoracotomy pain syndrome after lobectomy for lung cancer. J Thorac Dis 2019; 11:3896–3902.
Andreae MH, Andreae DA. Regional anaesthesia to prevent chronic pain after surgery: a Cochrane systematic review and meta-analysis. Br J Anaesth 2013; 111:711–720.
Kaufmann J, Kung E. Factors affecting cardiovascular physiology in cardiothoracic surgery: implications for lumped-parameter modeling. Front Surg 2019; 6:1–7.
Hill AG. Initiators and propagators of the metabolic response to injury. World J Surg 2000; 24:624–629.
Popping DM, Elia N, Marret E, et al. Protective effects of epidural analgesia on pulmonary complications after abdominal and thoracic surgery: a meta-analysis. Arch Surg 2008; 143:990–999. discussion 1000.
Popping DM, Elia N, Van Aken HK, et al. Impact of epidural analgesia on mortality and morbidity after surgery: systematic review and meta-analysis of randomized controlled trials. Ann Surg 2014; 259:1056–1067.
Licker M, Spiliopoulos A, Tschopp JM. Influence of thoracic epidural analgesia on cardiovascular autonomic control after thoracic surgery. Br J Anaesth 2003; 91:525–531.
Simeoforidou M, Vretzakis G, Bareka M, et al. Thoracic epidural analgesia with levobupivacaine for 6 postoperative days attenuates sympathetic activation after thoracic surgery. J Cardiothorac Vasc Anesth 2011; 25:817–823.
Batchelor TJP, Rasburn NJ, Abdelnour-Berchtold E, et al. Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS(R)) Society and the European Society of Thoracic Surgeons (ESTS). Eur J Cardiothorac Surg 2019; 55:91–115.
Budacan AM, Mehdi R, Kerr AP, et al. National survey of enhanced recovery after thoracic surgery practice in the United Kingdom and Ireland. J Cardiothorac Surg 2020; 15:1–9.
Gao S, Barello S, Chen L, et al. Clinical guidelines on perioperative management strategies for enhanced recovery after lung surgery. Transl Lung Cancer Res 2019; 8:1174–1187.
Hoffmann H, Kettelhack C. Fast-track surgery – conditions and challenges in postsurgical treatment: a review of elements of translational research in enhanced recovery after surgery. Eur Surg Res 2012; 49:24–34.
Batchelor TJP, Ljungqvist O. A surgical perspective of ERAS guidelines in thoracic surgery. Curr Opin Anaesthesiol 2019; 32:17–22.
Piccioni F, Segat M, Falini S, et al. Enhanced recovery pathways in thoracic surgery from Italian VATS Group: perioperative analgesia protocols. J Thorac Dis 2018; 10: (Suppl 4): S555–S563.
Umari M, Carpanese V, Moro V, et al. Postoperative analgesia after pulmonary resection with a focus on video-assisted thoracoscopic surgery. Eur J Cardiothorac Surg 2018; 53:932–938.
LaPar DJ, Bhamidipati CM, Lau CL, et al. The Society of Thoracic Surgeons General Thoracic Surgery Database: establishing generalizability to national lung cancer resection outcomes. Ann Thorac Surg 2012; 94:216–221. discussion 21.
Wu CL, Sapirstein A, Herbert R, et al. Effect of postoperative epidural analgesia on morbidity and mortality after lung resection in Medicare patients. J Clin Anesth 2006; 18:515–520.
Muehling BM, Halter GL, Schelzig H, et al. Reduction of postoperative pulmonary complications after lung surgery using a fast track clinical pathway. Eur J Cardiothorac Surg 2008; 34:174–180.
Baidya DK, Khanna P, Maitra S. Analgesic efficacy and safety of thoracic paravertebral and epidural analgesia for thoracic surgery: a systematic review and meta-analysis. Interact Cardiovasc Thorac Surg 2014; 18:626–635.
Haager B, Schmid D, Eschbach J, et al. Regional versus systemic analgesia in video-assisted thoracoscopic lobectomy: a retrospective analysis. BMC Anesthesiol 2019; 19:1–9.
Horowitz M, Neeman E, Sharon E, Ben-Eliyahu S. Exploiting the critical perioperative period to improve long-term cancer outcomes. Nat Rev Clin Oncol 2015; 12:213–226.
Gottschalk A, Sharma S, Ford J, et al. Review article: the role of the perioperative period in recurrence after cancer surgery. Anesth Analg 2010; 110:1636–1643.
Gottschalk A, Brodner G, Van Aken HK, et al. Can regional anaesthesia for lymph-node dissection improve the prognosis in malignant melanoma? Br J Anaesth 2012; 109:253–259.
Piegeler T, Votta-Velis EG, Liu G, et al. Antimetastatic potential of amide-linked local anesthetics: inhibition of lung adenocarcinoma cell migration and inflammatory Src signaling independent of sodium channel blockade. Anesthesiology 2012; 117:548–559.
Gupta A, Bjornsson A, Fredriksson M, et al. Reduction in mortality after epidural anaesthesia and analgesia in patients undergoing rectal but not colonic cancer surgery: a retrospective analysis of data from 655 patients in central Sweden. Br J Anaesth 2011; 107:164–170.
Votta-Velis EG, Piegeler T, Minshall RD, et al. Regional anaesthesia and cancer metastases: the implication of local anaesthetics. Acta Anaesthesiol Scand 2013; 57:1211–1229.
Wall T, Sherwin A, Ma D, Buggy DJ. Influence of perioperative anaesthetic and analgesic interventions on oncological outcomes: a narrative review. Br J Anaesth 2019; 123:135–150.