Postoperative analgesia after thoracoscopic surgeries in pediatric patients].

S M Stepanenko, A U Rasumovsky, I I Afukov

Anesteziologiia i reanimatologiia 2013 Jan-Feb

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Postoperative pain after thoracic surgeries is characterized by intensity and long duration. The intensity of pain can be moderate or strongly expressed, the duration various from one day to months and years either after thoracotomy (TT) or thoracoscopy (TS). Pain relief is one of the most important problems of postoperative period. Adequate analgesia, lung function and temperate sedation, ventilation must be provided against the general disease, surgical injury and one-lung ventilation. TS is a less invasive method therefore pain syndrome is not very strong. There are several methods of postoperative analgesia in Pediatric patients; however the choice is limited by the patient's age. Postoperative analgesia in Pediatric patients can be provided by narcotic and nonnarcotic analgesics, neuraxial anesthesia: multimodal approach is widely used. Postoperative pain after TS needs adequate analgesia for implications prevention and to reduce the duration of hospital stay.

Citation

S M Stepanenko, A U Rasumovsky, I I Afukov. Postoperative analgesia after thoracoscopic surgeries in pediatric patients]. Anesteziologiia i reanimatologiia. 2013 Jan-Feb(1):68-73