Analgesia and sedation post-coronary artery bypass graft surgery: a review of the literature

Mansour Jannati,1 Armin Attar21Department of Cardiovascular Surgery, Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran; 2Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, IranAbstract: This review aimed to study the role of analgesia and sedation afte...

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Autores principales:	Jannati M, Attar A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	Coronary artery bypass grafting (CABG) Analgesia sedation opioids ICU Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/51d28ff33785483bbca9ccd10508a99e
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spelling	oai:doaj.org-article:51d28ff33785483bbca9ccd10508a99e2021-12-02T10:58:49ZAnalgesia and sedation post-coronary artery bypass graft surgery: a review of the literature1178-203Xhttps://doaj.org/article/51d28ff33785483bbca9ccd10508a99e2019-06-01T00:00:00Zhttps://www.dovepress.com/analgesia-and-sedation-post-coronary-artery-bypass-graft-surgery-a-rev-peer-reviewed-article-TCRMhttps://doaj.org/toc/1178-203XMansour Jannati,1 Armin Attar21Department of Cardiovascular Surgery, Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran; 2Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, IranAbstract: This review aimed to study the role of analgesia and sedation after coronary artery bypass graft (CABG) surgery, regarding pain management, assisted respiration, overall postoperative health care, and hospitalization. Data were collected from Pubmed, Scopus, and Cochrane databases. The following terms were used for the search: “analgesia”, “sedation”, “coronary artery bypass grafting”, CABG”, and “opioids”. Articles between the years 1988 and 2018 were evaluated. Several opioid and non-opioid analgesics used to relieve surgical pain are regarded as critical risk factors for developing pulmonary and cardiovascular complications in all kinds of thoracic surgery, especially CABG procedures. Effective pain management in post-CABG patients is largely dependent on effective pain assessment, type of sedatives and analgesics administered, and evaluation of their effects on pain relief. A significant challenge is to determine adequate amounts of administered analgesics and sedatives for postoperative CABG patients, because patients often order more sedatives and analgesics than needed. The pain management process is deemed successful when patients feel comfortable after surgery, with no negative side effects. However, postoperative pain management patterns have not included many modern methods such as patient-controlled analgesia, and postoperative pain management drugs are still limited to a restricted range of opioid and non-opioid analgesics.Keywords: coronary artery bypass grafting (CABG), analgesia, sedation, opioids, ICUJannati MAttar ADove Medical PressarticleCoronary artery bypass grafting (CABG)AnalgesiasedationopioidsICUTherapeutics. PharmacologyRM1-950ENTherapeutics and Clinical Risk Management, Vol Volume 15, Pp 773-781 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Coronary artery bypass grafting (CABG) Analgesia sedation opioids ICU Therapeutics. Pharmacology RM1-950
spellingShingle	Coronary artery bypass grafting (CABG) Analgesia sedation opioids ICU Therapeutics. Pharmacology RM1-950 Jannati M Attar A Analgesia and sedation post-coronary artery bypass graft surgery: a review of the literature
description	Mansour Jannati,1 Armin Attar21Department of Cardiovascular Surgery, Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran; 2Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, IranAbstract: This review aimed to study the role of analgesia and sedation after coronary artery bypass graft (CABG) surgery, regarding pain management, assisted respiration, overall postoperative health care, and hospitalization. Data were collected from Pubmed, Scopus, and Cochrane databases. The following terms were used for the search: “analgesia”, “sedation”, “coronary artery bypass grafting”, CABG”, and “opioids”. Articles between the years 1988 and 2018 were evaluated. Several opioid and non-opioid analgesics used to relieve surgical pain are regarded as critical risk factors for developing pulmonary and cardiovascular complications in all kinds of thoracic surgery, especially CABG procedures. Effective pain management in post-CABG patients is largely dependent on effective pain assessment, type of sedatives and analgesics administered, and evaluation of their effects on pain relief. A significant challenge is to determine adequate amounts of administered analgesics and sedatives for postoperative CABG patients, because patients often order more sedatives and analgesics than needed. The pain management process is deemed successful when patients feel comfortable after surgery, with no negative side effects. However, postoperative pain management patterns have not included many modern methods such as patient-controlled analgesia, and postoperative pain management drugs are still limited to a restricted range of opioid and non-opioid analgesics.Keywords: coronary artery bypass grafting (CABG), analgesia, sedation, opioids, ICU
format	article
author	Jannati M Attar A
author_facet	Jannati M Attar A
author_sort	Jannati M
title	Analgesia and sedation post-coronary artery bypass graft surgery: a review of the literature
title_short	Analgesia and sedation post-coronary artery bypass graft surgery: a review of the literature
title_full	Analgesia and sedation post-coronary artery bypass graft surgery: a review of the literature
title_fullStr	Analgesia and sedation post-coronary artery bypass graft surgery: a review of the literature
title_full_unstemmed	Analgesia and sedation post-coronary artery bypass graft surgery: a review of the literature
title_sort	analgesia and sedation post-coronary artery bypass graft surgery: a review of the literature
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/51d28ff33785483bbca9ccd10508a99e
work_keys_str_mv	AT jannatim analgesiaandsedationpostcoronaryarterybypassgraftsurgeryareviewoftheliterature AT attara analgesiaandsedationpostcoronaryarterybypassgraftsurgeryareviewoftheliterature
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Analgesia and sedation post-coronary artery bypass graft surgery: a review of the literature

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