Literature DB >> 33069556

Reducing Opioid Use in Patients Undergoing Cardiac Surgery - Preoperative, Intraoperative, and Critical Care Strategies.

Jason Ochroch1, Asad Usman1, Jesse Kiefer1, Danielle Pulton1, Ro Shah1, Taras Grosh1, Saumil Patel1, William Vernick1, Jacob T Gutsche1, Jesse Raiten2.   

Abstract

Patients undergoing cardiothoracic surgery are exposed to opioids in the operating room and intensive care unit and after hospital discharge. Opportunities exist to reduce perioperative opioid use at all stages of care and include alternative oral and intravenous medications, novel intraoperative regional anesthetic techniques, and postoperative opioid-sparing sedative and analgesic strategies. In this review, currently used and investigational strategies to reduce the opioid burden for cardiothoracic surgical patients are explored.
Copyright © 2020 Elsevier Inc. All rights reserved.

Entities:  

Keywords:  cardiac surgery; early recovery after surgery; extracorporeal membrane oxygenation; fast-track cardiac surgery; opioid-free analgesia; opioid-sparing surgery; sedation

Mesh：

Substances：

Year:  2020        PMID： 33069556      PMCID： PMC8285065          DOI： 10.1053/j.jvca.2020.09.103

Source DB:  PubMed          Journal:  J Cardiothorac Vasc Anesth        ISSN： 1053-0770            Impact factor:   2.628


  100 in total

1.  Intravenous acetaminophen in the United States: iatrogenic dosing errors.

Authors:  Richard C Dart; Barry H Rumack
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2.  Sedation Management in Children Supported on Extracorporeal Membrane Oxygenation for Acute Respiratory Failure.

Authors:  James B Schneider; Todd Sweberg; Lisa A Asaro; Aileen Kirby; David Wypij; Ravi R Thiagarajan; Martha A Q Curley
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4.  Influence of opioid choice on mechanical ventilation duration and ICU length of stay.

Authors:  E Futier; G Chanques; S Cayot Constantin; L Vernis; A Barres; R Guerin; C Chartier; S Perbet; A Petit; M Jabaudon; J E Bazin; J M Constantin
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5.  [Perioperative gabapentin and pregabalin in cardiac surgery: a systematic review and meta-analysis].

Authors:  Souvik Maitra; Dalim K Baidya; Sulagna Bhattacharjee; Anirban Som
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Journal:  Br J Anaesth       Date:  2011-04-06       Impact factor: 9.166

7.  Pectoral Fascial (PECS) I and II Blocks as Rescue Analgesia in a Patient Undergoing Minimally Invasive Cardiac Surgery.

Authors:  Suraj Yalamuri; Rebecca Y Klinger; W Michael Bullock; Donald D Glower; Brandi A Bottiger; Jeffrey C Gadsden
Journal:  Reg Anesth Pain Med       Date:  2017 Nov/Dec       Impact factor: 6.288

8.  Local Anesthetic Peripheral Nerve Block Adjuvants for Prolongation of Analgesia: A Systematic Qualitative Review.

Authors:  Meghan A Kirksey; Stephen C Haskins; Jennifer Cheng; Spencer S Liu
Journal:  PLoS One       Date:  2015-09-10       Impact factor: 3.240

9.  Serratus anterior plane block for minimal invasive heart surgery.

Authors:  Vivien Berthoud; Omar Ellouze; Maxime Nguyen; Maria Konstantinou; Serge Aho; Ghislain Malapert; Claude Girard; Pierre-Gregoire Guinot; Olivier Bouchot; Belaid Bouhemad
Journal:  BMC Anesthesiol       Date:  2018-10-20       Impact factor: 2.217

10.  Efficacy of bilateral pectoralis nerve block for ultrafast tracking and postoperative pain management in cardiac surgery.

Authors:  Karthik Narendra Kumar; Ravikumar Nagashetty Kalyane; Naveen G Singh; P S Nagaraja; Madhu Krishna; Balaji Babu; R Varadaraju; N Sathish; N Manjunatha
Journal:  Ann Card Anaesth       Date:  2018 Jul-Sep
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