Pain medicine

Evidence for regional anesthesia in preventing chronic postsurgical pain

Reg Anesth Pain MedPublished Narrative review

Authors' conclusion

Current data indicate that epidural anesthesia might decrease CPSP risk following thoracotomy, wound infiltration may be effective after major breast surgery and cesarean delivery, and serratus anterior plane block or pectoralis/interpectoral plane blocks might be beneficial in breast surgery.

Study context

Population
Patients undergoing surgical procedures
Comparison
Regional anesthesia techniques for prevention of chronic postsurgical pain (CPSP)
Outcome
CPSP risk

Main finding

As reported in the abstract

  • Epidural anesthesia might decrease CPSP risk after thoracotomy
  • Wound infiltration may be effective after major breast surgery and cesarean delivery
  • Serratus anterior plane block or pectoralis/interpectoral plane blocks might be beneficial in breast surgery
  • Existing evidence limited

Original publication

Evidence for regional anesthesia in preventing chronic postsurgical pain. Reg Anesth Pain Med. Published 5 February 2025. doi:10.1136/rapm-2024-105611

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