Postoperative Analgesia after Open Liver Surgery: Systematic Review of Clinical Evidence.
Paula DudekMateusz ZawadkaPaweł AndruszkiewiczRemigiusz GeloFrancesco PuglieseFederico BilottaPublished in: Journal of clinical medicine (2021)
The current evidence suggests that, in these patients, optimal postoperative pain management should rely on using a "blended approach" which includes the use of systemic opioids and the infusion of NSAIDs along with regional techniques. This approach warrants the highest efficacy in terms of pain prevention, including the lower incretion of postoperative "stress hormones", and fewer side effects. Furthermore, concerns about the potential for the increased risk of wound infection related to the use of regional techniques have been ruled out.
Keyphrases
- postoperative pain
- systematic review
- pain management
- minimally invasive
- chronic pain
- patients undergoing
- end stage renal disease
- newly diagnosed
- ejection fraction
- prognostic factors
- meta analyses
- randomized controlled trial
- surgical site infection
- patient reported outcomes
- coronary artery bypass
- stress induced
- acute coronary syndrome
- patient reported
- percutaneous coronary intervention
- anti inflammatory drugs