Use of intravenous lidocaine infusion during thoracic surgery: a prospective observational cohort

Herrera, Julia; Vives, Marc; Gasco, I.; Diaz, Michael; Torres, Sandra; Regi, K.; Rodriguez, Cassandra M.; Baldó, Xavier

doi:10.1053/j.jvca.2019.07.051

Cited by 1 publication

(1 citation statement)

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“…A small randomized trial of IV lidocaine infusion versus placebo for thoracic surgery which did not detail surgical approach showed reduced pain scores and lower opioid requirements in the first six hours in the PACU (69). However, a smaller study limited by sample size did not show any difference in postoperative pain or opioid consumption (70). Interestingly, pre-emptive lidocaine patches applied three days prior to surgery were able to reduce postoperative pain at rest and with coughing as well as opioid consumption (71).…”

Section: Lidocaine For Thoracotomymentioning

confidence: 95%

Regional anesthesia and acute perioperative pain management in thoracic surgery: a narrative review

Hamilton¹,

Alfille²,

Mountjoy³

et al. 2022

J Thorac Dis

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Background and Objective: Thoracic surgery causes significant pain which can negatively affect pulmonary function and increase risk of postoperative complications. Effective analgesia is important to reduce splinting and atelectasis. Systemic opioids and thoracic epidural analgesia (TEA) have been used for decades and are effective at treating acute post-thoracotomy pain, although both have risks and adverse effects. The advancement of thoracoscopic surgery, a focus on multimodal and opioid-sparing analgesics, and the development of ultrasound-guided regional anesthesia techniques have greatly expanded the options for acute pain management after thoracic surgery. Despite the expansion of surgical techniques and analgesic approaches, there is no clear optimal approach to pain management. This review aims to summarize the body of literature regarding systemic and regional anesthetic techniques for thoracic surgery in both thoracotomy and minimally invasive approaches, with a goal of providing a foundation for providers to make individualized decisions for patients depending on surgical approach and patient factors, and to discuss avenues for future research.Methods: We searched PubMed and Google Scholar databases from inception to May 2021 using the terms "thoracic surgery", "thoracic surgery AND pain management", "thoracic surgery AND analgesia", "thoracic surgery AND regional anesthesia", "thoracic surgery AND epidural". We considered articles written in English and available to the reader.

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Section: Lidocaine For Thoracotomymentioning

confidence: 95%