アブストラクト
Japanese
| Title | 心臓外科手術の術後痛管理 - その実際と最新の知見 - |
|---|---|
| Subtitle | 日本臨床麻酔学会第40回大会シンポジウム「術後痛管理 - その実際と最新の知見 -」 |
| Authors | 松尾輝政* |
| Authors (kana) | |
| Organization | *島根大学医学部附属病院麻酔科 |
| Journal | 日本臨床麻酔学会誌 |
| Volume | 42 |
| Number | 2 |
| Page | 181-186 |
| Year/Month | 2022 / |
| Article | 報告 |
| Publisher | 日本臨床麻酔学会 |
| Abstract | [要旨] 近年, 経カテーテル的大動脈弁留置術など低侵襲心臓手術が普及している. 胸骨正中切開と比べ創部は小さいが, 術後の疼痛コントロールは依然として重要である. 術後痛は患者の全身状態を悪化させる主要な因子であり, 呼吸・心血管機能などに影響を及ぼしたり, 遷延性術後痛をもたらしたりする. 患者の生活の質を保つためにも, 術後痛管理は非常に重要である. 心臓外科手術の術後痛対策として, 最近胸壁の神経ブロックが注目されている. 出血等の合併症に注意しながら, これらのブロックを活用することで, 心臓外科手術においてより良好な術後鎮痛を提供できる可能性がある. |
| Practice | 臨床医学：外科系 |
| Keywords | 心臓外科麻酔, 神経ブロック, 術後鎮痛, Cardiac anesthesia, Nerve block, Postoperative analgesia |
English
| Title | Postoperative Pain Management of Cardiac Surgery |
|---|---|
| Subtitle | |
| Authors | Terumasa MATSUO |
| Authors (kana) | |
| Organization | Department of Anesthesiology, Shimane University Hospital |
| Journal | The Journal of Japan Society for Clinical Anesthesia |
| Volume | 42 |
| Number | 2 |
| Page | 181-186 |
| Year/Month | 2022 / |
| Article | Report |
| Publisher | The Japan Society for Clinical Anesthesia |
| Abstract | Minimally invasive cardiac surgery has emerged as a popular approach in recent years. Although the wound is smaller than that required for open heart surgery, postoperative pain control remains an important concern. Postoperative pain is a major contributor to the worsening of a patient's general condition, respiratory and cardiovascular dysfunction, and chronic pain. Postoperative pain management is important to maintain patients' quality of life. Nerve blocks of the chest wall have gained attention in recent times as a useful option for postoperative pain following cardiac surgery. These blocks may provide effective postoperative analgesia after cardiac surgery. |
| Practice | Clinical surgery |
| Keywords | Cardiac anesthesia, Nerve block, Postoperative analgesia |
- 全文ダウンロード： 従量制、基本料金制の方共に770円(税込) です。
参考文献
- 1) Mueller XM, Tinguely F, Tevaearai HT, et al. : Pain location, distribution, and intensity after cardiac sur-gery. Chest118 : 391-396, 2000
- 2) Bjornnes AK, Rustoen T, Lie I, et al. : Pain character-istics and analgesic intake before and following cardiac surgery. Eur J Cardiovasc Nurs15 : 47-54, 2016
- 3) Milgrom LB, Brooks JA, Qi R, et al. : Pain levels expe-rienced with activities after cardiac surgery. Am J Crit Care13 : 116-125, 2004
- 4) Liu SS, Wu CL : Effect of postoperative analgesia on major postoperative complications : a systematic up-date of the evidence. Anesth Analg104 : 689-702, 2007
- 5) Warner DO : Preventing postoperative pulmonary complications : the role of the anesthesiologist. Anesthesiology92 : 1467-1472, 2000
残りの6件を表示する
- 6) Sampson EL, West E, Fischer T : Pain and delirium : mechanisms, assessment, and management. Eur Geriatr Med11 : 45-52, 2020
- 7) Zubrzycki M, Liebold A, Skrabal C, et al. : Assessment and pathophysiology of pain in cardiac surgery. J Pain Res11 : 1599-1611, 2018
- 8) Kleiman AM, Sanders DT, Nemergut EC, et al. : Chronic Poststernotomy Pain : Incidence, Risk Fac-tors, Treatment, Prevention, and the Anesthesiologist's Role. Reg Anesth Pain Med42 : 698-708, 2017
- 9) 日本ペインクリニック学会・日本麻酔科学会・日本区域麻酔学会 合同 抗血栓療法中の区域麻酔・神経ブロックガイドライン作成ワーキンググループ : 抗血栓療法中の区域麻酔・神経ブロックガイドライン.
- 10) Kelava M, Alfirevic A, Bustamante S, et al. : Regional Anesthesia in Cardiac Surgery : An Overview of Fas-cial Plane Chest Wall Blocks. Anesth Analg131 : 127-135, 2020
- 11) Kumar AK, Chauhan S, Bhoi D, et al. : Pectointercos-tal Fascial Block(PIFB) as a Novel Technique for Post-operative Pain Management in Patients Undergoing Cardiac Surgery. J Cardiothorac Vasc Anesth35 : 116-122, 2021
