Cardiothoracic & vascular anesthesia
Pain management after cardiac surgery via median sternotomy: A systematic review with procedure-specific postoperative pain management (PROSPECT) recommendations
Methodological detailsRCTs and systematic reviews in English until November 2020; PubMed, Embase, Cochrane
- RCTs and systematic reviews in English until November 2020; PubMed, Embase, Cochrane
Recommendations
As issued by the authors
Paracetamol and non-steroidal anti-inflammatory drugs (NSAIDs), unless contraindicated, given intra-operatively and continued postoperatively
Intra-operative magnesium and dexmedetomidine infusions may be considered as adjuncts, particularly when basic analgesics are not given
Parasternal block/surgical site infiltration is recommended
Opioids should be reserved for rescue analgesia
Other interventions, including cyclo-oxygenase-2 specific inhibitors, are not recommended (insufficient, inconsistent or no evidence and/or safety concerns)
Original publication
Pain management after cardiac surgery via median sternotomy: A systematic review with procedure-specific postoperative pain management (PROSPECT) recommendations. Eur J Anaesthesiol. Published 19 July 2023. doi:10.
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