MULTIMODAL APPROACH TO POST-THORACOTOMY PAIN MANAGEMENT
Keywords:
multimodal, pain management, post-thoracotomy pain syndrome, thoracotomyAbstract
Thoracotomy is associated with severe postoperative pain and a high incidence of chronic post-thoracotomy pain syndrome (CPTPS). Inadequate pain control adversely affects respiratory function, delays mobilization, increases postoperative complications, and contributes to long-term morbidity. Contemporary analgesic strategies emphasize a multimodal approach that integrates regional analgesic techniques, systemic pharmacotherapy, and adjuvant agents to optimize pain control while minimizing opioid consumption. This review provides a comprehensive overview of the pathophysiology of post-thoracotomy pain and critically analyzes current evidence supporting multimodal analgesic strategies in thoracic surgery.
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