Key result
Multimodal analgesia optimizes pain control and reduces adverse effects after cardiothoracic surgery.
Why the study?
Cardiothoracic procedure-related pain can cause significant morbidities including chronic pain if undertreated, making an understanding of multimodal opioid-sparing pain management regimens essential.
Does multimodal analgesia improve pain control and reduce adverse effects in patients undergoing cardiothoracic surgery?
Does multimodal analgesia improve pain control and reduce adverse effects in patients undergoing cardiothoracic surgery?
This review highlights the necessity of multimodal analgesia strategies to effectively manage postoperative pain, optimize recovery, and minimize opioid dependence in cardiothoracic surgery patients.
May support multimodal analgesia to limit opioids after cardiothoracic surgery; leaves open optimal regimens pending prospective trials.
Pain in the context of cardiothoracic surgery can be attributed to multiple factors. Furthermore, cardiothoracic procedure-related pain can be significant and can lead to multiple morbidities including chronic pain syndromes when left undertreated. Even though opioids remain mainstay of treatment for these procedures, opioid-sparing techniques utilizing a well-developed multimodal regimen can be important in the proper pain management of this patient population. It is imperative for the anesthesiologist to understand the multiple pharmacological and non-pharmacological modalities available, the benefits and adverse effects, and the literature supporting the utility of these methods.
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Bhatt et al. (2025) conducted a review in Pain management in cardiothoracic surgery. Multimodal analgesia (opioid and non-opioid pharmacology) was evaluated. A multimodal pain management regimen including opioid and non-opioid pharmacological therapies is important for achieving proper pain control and minimizing adverse effects in cardiothoracic surgery.
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