Practice Advisory for Preoperative and Intraoperative Pain Management of Cardiac Surgical Patients: Part 2.

TitlePractice Advisory for Preoperative and Intraoperative Pain Management of Cardiac Surgical Patients: Part 2.
Publication TypeJournal Article
Year of Publication2023
AuthorsMakkad B, Heinke TLee, Sheriffdeen R, Khatib D, Brodt JLouise, Meng M-L, Grant MConrad, Kachulis B, Popescu WMaria, Wu CL, Bollen BAllen
JournalAnesth Analg
Date Published2023 Jul 01
KeywordsAnalgesics, Analgesics, Opioid, Cardiac Surgical Procedures, Humans, Opioid-Related Disorders, Pain Management, Pain, Postoperative

Pain after cardiac surgery is of moderate to severe intensity, which increases postoperative distress and health care costs, and affects functional recovery. Opioids have been central agents in treating pain after cardiac surgery for decades. The use of multimodal analgesic strategies can promote effective postoperative pain control and help mitigate opioid exposure. This Practice Advisory is part of a series developed by the Society of Cardiovascular Anesthesiologists (SCA) Quality, Safety, and Leadership (QSL) Committee's Opioid Working Group. It is a systematic review of existing literature for various interventions related to the preoperative and intraoperative pain management of cardiac surgical patients. This Practice Advisory provides recommendations for providers caring for patients undergoing cardiac surgery. This entails developing customized pain management strategies for patients, including preoperative patient evaluation, pain management, and opioid use-focused education as well as perioperative use of multimodal analgesics and regional techniques for various cardiac surgical procedures. The literature related to this field is emerging, and future studies will provide additional guidance on ways to improve clinically meaningful patient outcomes.

Alternate JournalAnesth Analg
PubMed ID37326862