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Post-Thoracotomy Pain (Acute and Chronic Pain) 

Post-Thoracotomy Pain (Acute and Chronic Pain)
Chapter:
Post-Thoracotomy Pain (Acute and Chronic Pain)
Author(s):

Tabitha A. Washington

, Khalilah Brown

, and Gilbert Fanciullo

DOI:
10.1093/med/9780199827602.003.0009
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date: 23 October 2019

Persistent post-thoracotomy pain syndrome (PTPS) is one of the most prevalent sources of chronic post-operative pain. Up to 20-70% of patients may complain of symptoms consistent with post-thoracotomy pain. Targeting the points before, during, and after surgery that could decrease the risk of PTPS has been understudied and there is no clear evidence for any specific recommendations. That being said, recommendations and standard of care include a multimodal analgesic approach during surgery and perioperatively with nonopioid and local anesthesia. Treatment of chronic PTPS can include medical therapy, interventional therapy and in those with refractory disease, spinal cord stimulation.

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