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Postoperative Critical Care for Adult Cardiac Surgical Patients pp 527–563Cite as

Postoperative Pain Management in Adult Cardiac Surgery

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Abstract

Postoperative pain management is not only a medical concern but also among the human rights; this challenging issue would be much more difficult in postoperative period of cardiac surgery patients in whom the burden of the cardiac disease and the complex perioperative events impose their heavy shadow on the decision-making process for selection of analgesic remedies for acute pain suppression.

In this chapter, a brief discussion about the pathologic mechanisms of pain and their possible risk factors and potential mechanisms is presented first, and then, analgesia methods are discussed in two main categories: pharmacologic methods (including opioids, alpha 2 agonists, nonsteroidal anti-inflammatory drugs “NSAIDs,” paracetamol, ketamine, MgSO4, gabapentin, pregabalin, multimodal analgesia, and patient-controlled analgesia) and non-pharmacologic interventions (mainly infiltration of local anesthetics, intercostal nerve block, intrapleural infiltration of local anesthetics, and neuraxial blocks, “paravertebral, intrathecal, thoracic epidural”).

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  1. Cardiac Anesthesiology Department, Anesthesiology Research Center, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Ali Dabbagh M.D.

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  1. Shahid Beheshti Univ Med Sci, Sa'adat Abad, Tehran, Iran

    Ali Dabbagh

  2. Cedars-Sinai Heart Institute, Los Angeles, California, USA

    Fardad Esmailian

  3. Brigham and Women's Hospital, Boston, Massachusetts, USA

    Sary Aranki

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Dabbagh, A. (2018). Postoperative Pain Management in Adult Cardiac Surgery. In: Dabbagh, A., Esmailian, F., Aranki, S. (eds) Postoperative Critical Care for Adult Cardiac Surgical Patients. Springer, Cham. https://doi.org/10.1007/978-3-319-75747-6_17

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