Cardiothoracic & vascular anesthesia

The role of methadone in cardiac surgery for management of postoperative pain

BJA OpenPublished Retrospective cohort study

Authors' conclusion

Intraoperative administration of methadone was associated with better pain control without significant side-effects after cardiac surgery.

Study context

Population
Patients undergoing cardiac surgery with CPB, 2018 to 2023
Participants
11,967 patients
Exposure
Intraoperative methadone vs no methadone
Outcome
Mean pain scores
Follow-up
Until POD 7
Methodological detailssingle health system
  • Single health system

Main finding

As reported in the abstract

Lower mean pain scores in Groups M and M+O vs Group O after adjusting for covariates
P<0.01

Observational data: associations, not effects.

Further findings

Hours until initial postoperative opioid

Total opioid administered · POD0-POD6

Lower in Groups M and M+O vs Group O for all days
all P<0.001

Safety

Postoperative complications

Incidence did not differ between groups

Original publication

The role of methadone in cardiac surgery for management of postoperative pain. BJA Open. Published 22 March 2024. doi:10.1016/j.bjao.2024.100270

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