Analgesia is paramount following lung resection surgery as it enables maximal effort for optimal ventilatory function. Although opioids are useful analgesics, there is an advantage to using multi‐modal analgesic techniques in order to limit opioid side‐effects, particularly respiratory depression and sedation. Regional analgesia is a key component of this multi‐modal analgesic regime. This editorial will discuss recent changes in analgesia for lung resection surgery and the authors’ experience in analgesia for lung resection.Gold‐standard regional techniquesThoracic epidural analgesia (henceforth referred to as epidural) has historically been the gold‐standard regional technique for thoracic surgery. Over the last 10 years, epidural use has reduced as paravertebral blocks have become increasingly popular in many centres in the UK. In 2010, anaesthetists working in thoracic surgery centres in the UK were surveyed to see what analgesic technique was their first choice for various types of thoracic surgery. Half of the anaesthetists preferred paravertebral blocks with patient‐controlled analgesia for video‐assisted thoracoscopic lobectomy, whereas one‐third preferred patient‐controlled analgesia alone and only one‐tenth preferred epidurals . Patients undergoing open lung resection were grouped with patients having pleural decortication, making it difficult to determine preferred practice for open lung resection alone. Half of anaesthetists preferred epidurals for open procedures, whereas
Anaesthesia – Wiley
Published: Jan 1, 2018
Keywords: ; ; ;
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera