Key result
Multimodal analgesia using unilateral nerve blocks, opioids, and NSAIDs is a useful alternative to epidural anesthesia for postoperative pain control in thoracic surgery patients on anticoagulants.
In thoracic surgery patients receiving anticoagulant therapy where epidural anesthesia is restricted, a multimodal analgesic strategy combining regional blocks (such as paravertebral or extrapleural blocks) with opioids and NSAIDs is a useful alternative.
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Kunihisa Hotta (2011) conducted a review in Postoperative pain in thoracic surgery patients receiving anticoagulant therapy. Multimodal analgesia (regional blocks, opioids, NSAIDs) vs. Epidural anesthesia (standard of care) was evaluated. Multimodal analgesia using unilateral nerve blocks, opioids, and NSAIDs is a useful alternative to epidural anesthesia for postoperative pain control in thoracic surgery patients on anticoagulants.
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