Postoperative Multimodal Analgesia in Cardiac Surgery

Linda F Barr; Michael J Boss; Michael A Mazzeffi; Bradley S Taylor; Rawn Salenger

doi:10.1016/j.ccc.2020.06.003

Postoperative Multimodal Analgesia in Cardiac Surgery

Crit Care Clin. 2020 Oct;36(4):631-651. doi: 10.1016/j.ccc.2020.06.003. Epub 2020 Aug 12.

Authors

Linda F Barr¹, Michael J Boss², Michael A Mazzeffi³, Bradley S Taylor³, Rawn Salenger⁴

Affiliations

¹ Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, 733 N Broadway, Baltimore, MD 21205, USA.
² University of Maryland Saint Joseph Medical Center, 7601 Osler Drive, Towson, MD 21204, USA.
³ University of Maryland School of Medicine, 22S Greene St, Baltimore, MD 21201, USA.
⁴ University of Maryland School of Medicine, 22S Greene St, Baltimore, MD 21201, USA. Electronic address: rawnsalenger@umm.edu.

PMID: 32892818
DOI: 10.1016/j.ccc.2020.06.003

Abstract

Multimodal pain management of cardiac surgical patients is a paradigm shift in postoperative care. This promising approach features complementary medications and techniques that spare opioids and improves symptomatic and functional recovery. Although the specific elements remain to be defined, the collaboration of the health care team and patient and continuous iterative programmatic improvements are important pillars of this approach.

Keywords: Cardiac surgery; Enhanced recovery after surgery (ERAS); Multimodal pain management; Opioids; Postoperative pain.

Publication types

Review

MeSH terms

Analgesia*
Analgesics, Opioid
Cardiac Surgical Procedures*
Humans
Pain Management
Pain, Postoperative

Substances

Analgesics, Opioid