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- W3211155108 abstract "Summary Video‐assisted thoracoscopic surgery has become increasingly popular due to faster recovery times and reduced postoperative pain compared with thoracotomy. However, analgesic regimens for video‐assisted thoracoscopic surgery vary significantly. The goal of this systematic review was to evaluate the available literature and develop recommendations for optimal pain management after video‐assisted thoracoscopic surgery. A systematic review was undertaken using procedure‐specific postoperative pain management (PROSPECT) methodology. Randomised controlled trials published in the English language, between January 2010 and January 2021 assessing the effect of analgesic, anaesthetic or surgical interventions were identified. We retrieved 1070 studies of which 69 randomised controlled trials and two reviews met inclusion criteria. We recommend the administration of basic analgesia including paracetamol and non‐steroidal anti‐inflammatory drugs or cyclo‐oxygenase‐2‐specific inhibitors pre‐operatively or intra‐operatively and continued postoperatively. Intra‐operative intravenous dexmedetomidine infusion may be used, specifically when basic analgesia and regional analgesic techniques could not be given. In addition, a paravertebral block or erector spinae plane block is recommended as a first‐choice option. A serratus anterior plane block could also be administered as a second‐choice option. Opioids should be reserved as rescue analgesics in the postoperative period." @default.
- W3211155108 created "2021-11-08" @default.
- W3211155108 creator A5004685183 @default.
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- W3211155108 creator A5074109764 @default.
- W3211155108 creator A5080050359 @default.
- W3211155108 creator A5089485062 @default.
- W3211155108 date "2021-11-05" @default.
- W3211155108 modified "2023-10-10" @default.
- W3211155108 title "PROSPECT guidelines for video‐assisted thoracoscopic surgery: a systematic review and procedure‐specific postoperative pain management recommendations" @default.
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- W3211155108 doi "https://doi.org/10.1111/anae.15609" @default.
- W3211155108 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/34739134" @default.