• Benu Makkad, Timothy Lee Heinke, Raiyah Sheriffdeen, Diana Khatib, Jessica Louise Brodt, Marie-Louise Meng, Michael Conrad Grant, Bessie Kachulis, Wanda Maria Popescu, Christopher L Wu, and Bruce Allen Bollen.
• From the Department of Anesthesiology, University of Cincinnati Medical Center, Cincinnati, Ohio.
• Anesth. Analg. 2023 Jul 1; 137 (1): 264726-47.

AbstractPain after cardiac surgery is of moderate to severe intensity, which increases postoperative distress and health care costs, and affects functional recovery. Opioids have been central agents in treating pain after cardiac surgery for decades. The use of multimodal analgesic strategies can promote effective postoperative pain control and help mitigate opioid exposure. This Practice Advisory is part of a series developed by the Society of Cardiovascular Anesthesiologists (SCA) Quality, Safety, and Leadership (QSL) Committee's Opioid Working Group. It is a systematic review of existing literature for various interventions related to the preoperative and intraoperative pain management of cardiac surgical patients. This Practice Advisory provides recommendations for providers caring for patients undergoing cardiac surgery. This entails developing customized pain management strategies for patients, including preoperative patient evaluation, pain management, and opioid use-focused education as well as perioperative use of multimodal analgesics and regional techniques for various cardiac surgical procedures. The literature related to this field is emerging, and future studies will provide additional guidance on ways to improve clinically meaningful patient outcomes.Copyright © 2023 International Anesthesia Research Society.

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