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Current Pain and Headache Reports

14-08-2024 | Heart Surgery | Acute Pain Medicine (R Urman, Section Editor)

Optimizing Pain Management in Cardiac Surgery: A Review of Analgesic Adjuvants

Authors: Vanja Tolj, Temitayo Adegbenro, Ethan Y. Brovman

Published in: Current Pain and Headache Reports

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Abstract

Purpose of Review

Pain management following cardiac surgery is a critical component in optimizing both short- and long-term patient outcomes, with poor pain management associated with significant acute and chronic opioid use, opioid dependence and a significant rate of opioid related adverse drug events. The significant burden of both acute and chronic pain following cardiac surgery has given rise to the need for multimodel analgesic strategies, to optimize outcomes and minimize side effects.

Recent Findings

While significant research has focused recently on the additive value of peripheral nerve blocks, less emphasis has been given to the value of non-opioid based analgesics in preference to traditional opioid based anesthetic and analgesic strategies. In this review, we examine the evidence for several common analgesics, highlighting the evidence supporting efficacy following cardiac surgery, as well as the safety concerns with each agent.

Summary

We demonstrate the value of a multimodal analgesic strategy to reduce pain scores and improve patient-centered outcomes, and highlight the need for further studies of combination analgesic strategies.
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Metadata
Title
Optimizing Pain Management in Cardiac Surgery: A Review of Analgesic Adjuvants
Authors
Vanja Tolj
Temitayo Adegbenro
Ethan Y. Brovman
Publication date
14-08-2024
Publisher
Springer US
Published in
Current Pain and Headache Reports
Print ISSN: 1531-3433
Electronic ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-024-01304-9

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