Post-Operative Pain Management in CV Surgery

Post operative pain following cardiac surgery is typically minimal and manageable. Pain should be approach with an eye towards minimization of narcotics as earlier as possible in the post-operative course. The concept of “multimodal analgesia” should be employed with a combination of acetaminophen, low dose oral opioids, NSAIDS, and less frequently, anti-convulsants and muscle relaxants.

Rafiq S1, Steinbr├╝chel DA, Wanscher MJ, Andersen LW, Navne A, Lilleoer NB, Olsen PS. Multimodal analgesia versus traditional opiate based analgesia after cardiac surgery, a randomized controlled trial.
J Cardiothorac Surg. 2014 Mar 20;9:52. doi: 10.1186/1749-8090-9-52

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