Postoperative pain management after thoracic transplantations.

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 Aug 2024

Historique:

medline: 1 8 2024

pubmed: 1 8 2024

entrez: 1 8 2024

Statut: aheadofprint

Résumé

Heart and lung transplantation evolution marked significant milestones. Pioneering efforts of Dr Christiaan Barnard with the first successful heart transplant in 1967, followed by advancements in heart-lung and single-lung transplants by Drs Bruce Reitz, Norman Shumway, and Joel Cooper laid the groundwork for contemporary organ transplantation, offering hope for patients with end-stage heart and pulmonary diseases. Pretransplant opioid use in heart transplant recipients is linked to higher mortality and opioid dependence posttransplant. Effective pain control is crucial to reduce opioid-related adverse effects and enhance recovery. However, research on specific pain management protocols for heart transplant recipients is limited. In lung transplantation effective pain management is crucial. Studies emphasize the benefits of multimodal strategies, including thoracic epidural analgesia and thoracic paravertebral blocks, to enhance recovery and reduce opioid use. Perioperative pain control challenges in lung transplantation are unique and necessitate careful consideration to prevent complications and improve outcomes. This review emphasizes the importance of tailored pain management in heart and lung transplant recipients. It advocates for extended follow-up and alternative analgesics to minimize opioid dependency and enhance quality of life. Further high-quality research is needed to optimize postoperative analgesia and improve patient outcomes.

Identifiants

DOI: 10.1097/ACO.0000000000001418 PMID: 39087400

pubmed: 39087400

doi: 10.1097/ACO.0000000000001418

pii: 00001503-990000000-00219

doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

Informations de copyright

Références

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