Postthoracotomy chronic pain Book Section


Authors: Haffey, P. R.; Rakesh, N.; Chen, G.; Gulati, A.
Editor: Cohen, E.
Article/Chapter Title: Postthoracotomy chronic pain
Abstract: Postthoracotomy pain syndrome (PTPS) is a chronic condition that affects a large percentage of operative patients. One of the most important prevention strategies is ensuring adequate analgesia in the immediate postoperative period. The mechanisms by which the condition develops are not clearly elucidated, but clear risk factors include preexisting pain conditions, age, sex, psychosocial factors, and genetic predisposition. Patients commonly present with complaints of burning, aching, allodynia, and tenderness along the incision site. The importance of a multimodal approach to immediate postoperative pain control cannot be overstated. Pharmacologic and regional anesthesia techniques can also be incorporated into the treatment of PTPS. Neuromodulating medications, nonsteroidal antiinflammatory drugs, opioids, and other pharmacologic medications are commonly used in the treatment of PTPS. Regional anesthesia techniques are also incorporated. PTPS is a complex and poorly understood condition that requires more investigation. © 2022 Elsevier Inc. All rights reserved.
Keywords: pain syndromes; postoperative pain conditions; postthoracotomy pain syndrome; thoracotomy pain
Book Title: Cohen's Comprehensive Thoracic Anesthesia
ISBN: 978-0-323-71301-6
Publisher: Elsevier Inc.  
Publication Place: Philadelphia, PA
Date Published: 2021-01-01
Start Page: 345
End Page: 352
Language: English
DOI: 10.1016/b978-0-323-71301-6.00025-1
PROVIDER: scopus
DOI/URL:
Notes: Book Chapter: 25 -- Located within section labeled "Section 6: Specific Anesthetic Considerations" -- Export Date: 1 November 2022 -- Source: Scopus
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MSK Authors
  1. Amitabh Gulati
    146 Gulati
  2. Grant H Chen
    17 Chen
  3. Paul Ryan Haffey
    2 Haffey
  4. Neal Rakesh
    15 Rakesh
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