@article{2a733e1410914f7d91d6550971f7c65b,
title = "PROSPECT guidelines for video-assisted thoracoscopic surgery: a systematic review and procedure-specific postoperative pain management recommendations",
abstract = "Video-assisted thoracoscopic surgery has become increasingly popular due to faster recovery times and reduced postoperative pain compared with thoracotomy. However, analgesic regimens for video-assisted thoracoscopic surgery vary significantly. The goal of this systematic review was to evaluate the available literature and develop recommendations for optimal pain management after video-assisted thoracoscopic surgery. A systematic review was undertaken using procedure-specific postoperative pain management (PROSPECT) methodology. Randomised controlled trials published in the English language, between January 2010 and January 2021 assessing the effect of analgesic, anaesthetic or surgical interventions were identified. We retrieved 1070 studies of which 69 randomised controlled trials and two reviews met inclusion criteria. We recommend the administration of basic analgesia including paracetamol and non-steroidal anti-inflammatory drugs or cyclo-oxygenase-2-specific inhibitors pre-operatively or intra-operatively and continued postoperatively. Intra-operative intravenous dexmedetomidine infusion may be used, specifically when basic analgesia and regional analgesic techniques could not be given. In addition, a paravertebral block or erector spinae plane block is recommended as a first-choice option. A serratus anterior plane block could also be administered as a second-choice option. Opioids should be reserved as rescue analgesics in the postoperative period.",
keywords = "analgesia, evidence-based medicine, postoperative pain, systematic review, video-assisted thoracoscopic surgery",
author = "{the PROSPECT Working Group *of the European Society of Regional Anaesthesia and Pain Therapy} and S. Feray and J. Lubach and Joshi, {G. P.} and F. Bonnet and {Van de Velde}, M. and Joshi, {G. P.} and E. Pogatzki-Zahn and {Van de Velde}, M. and S. Schug and H. Kehlet and F. Bonnet and N. Rawal and A. Delbos and P. Lavand{\textquoteright}homme and H. Beloeil and J. Raeder and A. Sauter and E. Albrecht and P. Lirk and D. Lobo and S. Frey",
note = "Funding Information: SF and JL contributed equally to this manuscript and share first authorship. PROSPECT is supported by an unrestricted grant from the European Society of Regional Anaesthesia and Pain Therapy (ESRA). In the past, PROSPECT has received unrestricted grants from Pfizer Inc. New York, NY, USA and Grunenthal, Aachen, Germany. GJ has received honoraria from Baxter and Pacira Pharmaceuticals. FB has received honoraria from Grunenthal, The Medicine Company, Abbott France and Nordic Pharma France. MVdV has received honoraria from Sintetica, Grunenthal, Vifor Pharma, MSD, Nordic Pharma, Janssen Pharmaceuticals, Heron Therapeutics and Aquettant. No other competing interests declared. Funding Information: SF and JL contributed equally to this manuscript and share first authorship. PROSPECT is supported by an unrestricted grant from the European Society of Regional Anaesthesia and Pain Therapy (ESRA). In the past, PROSPECT has received unrestricted grants from Pfizer Inc. New York, NY, USA and Grunenthal, Aachen, Germany. GJ has received honoraria from Baxter and Pacira Pharmaceuticals. FB has received honoraria from Grunenthal, The Medicine Company, Abbott France and Nordic Pharma France. MVdV has received honoraria from Sintetica, Grunenthal, Vifor Pharma, MSD, Nordic Pharma, Janssen Pharmaceuticals, Heron Therapeutics and Aquettant. No other competing interests declared. Publisher Copyright: {\textcopyright} 2021 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists.",
year = "2022",
month = mar,
doi = "10.1111/anae.15609",
language = "English (US)",
volume = "77",
pages = "311--325",
journal = "Anaesthesia",
issn = "0003-2409",
publisher = "Wiley-Blackwell",
number = "3",
}