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Review
. 2018 Nov;10(Suppl 32):S3773-S3780.
doi: 10.21037/jtd.2018.09.112.

Pain management within an enhanced recovery program after thoracic surgery

Calvin Thompson  1 , Daniel G French  2 , Ioana Costache  1
Affiliations
Review

Pain management within an enhanced recovery program after thoracic surgery

Calvin Thompson et al. J Thorac Dis. 2018 Nov.

Abstract

Evidence for ERAS within thoracic surgery (ERATS) is building. The key to enabling early recovery and ambulation is ensuring that postoperative pain is well controlled. Surgery on the chest is considered to be one of the most painful of surgical procedures for both open and minimally invasive surgery (MIS) approaches. Increasing use of MIS and improved perioperative care pathways has resulted in shorter length of stay (LOS), requiring patients to achieve optimal pain control earlier and meet discharge criteria sooner, sometimes on the same day as surgery. This requires optimizing pain control earlier in the postoperative recovery phase in order to enable ambulation and a better recovery profile, as well as to minimize the risk for development of chronic persistent postoperative pain (CPPP). This review will focus on the options for pain management protocols within an ERAS program for thoracic surgery patients (ERATS).

Keywords: Enhanced recovery after surgery (ERAS); multimodal; pain, analgesia; thoracic surgery.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

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