The treatment of pain after thoracic surgery is a challenge and takes place in the
individual clinics mostly according to clinic internal standards. It exists no currently
valid S3 guideline for the treatment of acute perioperative and posttraumatic pain.
For an effective pain treatment as well individual pain experience as the pain intensity
of the various thoracic surgical procedures must be considered. Regular pain assessment
with appropriate methods and their documentation form the basis for adequate and adapted
pain therapy.
There are a number of different pain therapy methods, non-medicamentous and drug-based
methods, whose effectiveness is described in the literature partially different. For
the treatment of acute postoperative pain after thoracic surgery, mainly drug-related
procedures are used, except for physiotherapy as a non-medicamentous method. Increasingly,
alternative procedures for the peridural catheter as a therapeutic gold standard in
the treatment of pain after thoracic surgery are used. Their application can be integrated
into a therapeutic algorithm.
Zusammenfassung
Die Behandlung von Schmerzen nach thoraxchirurgischen Eingriffen erfolgt zumeist nach
klinikinternen Standards. Eine aktuell gültige S3-Leitlinie zur Behandlung akuter
perioperativer und posttraumatischer Schmerzen gibt es derzeit nicht. Die unterschiedlichen
Therapiemöglichkeiten akuter postoperativer Schmerzen in der Thoraxchirurgie, deren
Effektivität in der Literatur sehr uneinheitlich beurteilt wird, werden in diesem
Beitrag vorgestellt.
Abstract
Schlüsselwörter
Schmerzen nach thoraxchirurgischen Eingriffen - Schmerzintensität - chirurgisches
Trauma - Algesimetrie - Schmerzmanagement - Behandlungsalgorithmus
Key words
pain in thoracic surgery - pain intensity - surgical trauma - algesimetry - pain management
- treatment algorhythm
