Management of chronic postthoracotomy pain Journal Article


Authors: Jain, S.; Datta, S.; Tundis, D.
Article Title: Management of chronic postthoracotomy pain
Abstract: Postthoracotomy pain management is essential immediately after surgery and crucial for the patient suffering from this problem for a long duration. Understanding the causative and pathophysiological basis for this condition requires frequent assessment and a multidimensional approach. Inadequate pain control has detrimental effects on the routine activities of patients as well as on their physical and emotional well-being. During the last 2 decades, the understanding of various pain-related issues has been strengthened resulting in early intervention and pain management. Various pharmacological modalities including the role of nonopiates, opiates, and adjuvant drugs are helpful in combating postthoracotomy pain. A selective group of patients will benefit from interventional techniques. The treatment decision requires a clear understanding of the disease and its impact on the patient. There must also be an understanding of risk and benefits as well as cost and benefits for various drugs and techniques before selecting the appropriate therapy.
Keywords: pathophysiology; unindexed drug; neuropathy; thoracotomy; postoperative complication; pethidine; thorax pain; acetylsalicylic acid; diclofenac; ibuprofen; indometacin; naproxen; salsalate; sulindac; scar formation; methadone; morphine; decision making; hydromorphone; ketorolac; postoperative pain; analgesic agent; oxycodone; oxymorphone; dextropropoxyphene; emotional stability; flurbiprofen; ketoprofen; human; article; piroxicam; choline magnesium trisalicylate; diflunisal; fenoprofen; etodolac; nabumetone; oxaprozin; mefenamic acid; norpethidine; norpropoxyphene; tolmetin; electroneurography; myofascial pain
Journal Title: Seminars in Cardiothoracic and Vascular Anesthesia
Volume: 3
Issue: 3
ISSN: 1089-2532
Publisher: Sage Publications  
Date Published: 1999-01-01
Start Page: 191
End Page: 203
Language: English
PROVIDER: scopus
DOI: 10.1177/108925329900300307
DOI/URL:
Notes: Article -- Export Date: 16 August 2016 -- Source: Scopus
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MSK Authors
  1. Debra Tundis
    3 Tundis
  2. Subhash Jain
    23 Jain
  3. Samyadev   Datta
    6 Datta
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