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(Chest. 1999;115:122S-124S.)
© 1999 American College of Chest Physicians

Choices in Pain Management Following Thoracotomy*

Christine Peeters-Asdourian, MD and Sanjay Gupta, MD

* From Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA.

Correspondence to: Christine Peeters-Asdourian, MD, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215

Effective analgesia and blockade of the perioperative stress response may improve outcome and accelerate recovery following thoracic surgery. Although different approaches can achieve the same goal, it seems that a multimodal pain management based on the use of synergistic drugs provides better analgesia. The route of administration of the postoperative analgesic drugs is important, and epidural analgesia plays a role in the reduction of pulmonary complications.




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