Skip to main content
SpringerLink
Log in
Book cover

Thoracic Outlet Syndrome pp 405–414Cite as

Perioperative Pain Management for Thoracic Outlet Syndrome Surgery

  • Chapter
  • First Online:

  • 104 Accesses

Abstract

Pain is defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage (Williams and Craig, Pain, 157(11):2420–2423, 2016). Pain control for patients with Thoracic Outlet Syndrome (TOS) can be quite challenging, as there are often various pain profiles and presentations of pathology. In this chapter, we will describe best practices for safe and effective pain control during the perioperative course, broken down into preoperative, intraoperative, and postoperative sections. We will also discuss different medications that may be used together in a multimodal approach to managing pain.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Buvanendran A, Kroin JS. Multimodal analgesia for controlling acute postoperative pain. Curr Opin Anesthesio. 2009;22(5):588–93.

    Article  Google Scholar 

  2. Lassen K, Soop M, Nygren J, Cox PB, Hendry PO, Spies C, von Meyenfeldt MF, Fearon KC, Revhaug A, Norderval S, Ljungqvist O. Consensus review of optimal perioperative care in colorectal surgery: enhanced recovery after surgery (ERAS) group recommendations. Arch Surg. 2009;144(10):961–9.

    Article  Google Scholar 

  3. Jahr JS, Lee VK. Intravenous acetaminophen. Anesthesiol Clin. 2010;28(4):619–45.

    Article  CAS  Google Scholar 

  4. White PF. The changing role of non-opioid analgesic techniques in the management of postoperative pain. Anesth Analg. 2005;101(5S):S5–22.

    Article  Google Scholar 

  5. Borenstein DG, Korn S. Efficacy of a low-dose regimen of cyclobenzaprine hydrochloride in acute skeletal muscle spasm: results of two placebo-controlled trials. Clin Ther. 2003;25(4):1056–73.

    Article  CAS  Google Scholar 

  6. Olkkola KT, Ahonen J. Midazolam and other benzodiazepines. In: Modern anesthetics. Berlin; Heidelberg: Springer; 2008. p. 335–60.

    Chapter  Google Scholar 

  7. Fields H. State-dependent opioid control of pain. Nat Rev Neurosci. 2004;5(7):565.

    Article  CAS  Google Scholar 

  8. Gordon DB, de Leon-Casasola OA, Wu CL, Sluka KA, Brennan TJ, Chou R. Research gaps in practice guidelines for acute postoperative pain management in adults: findings from a review of the evidence for an American Pain Society clinical practice guideline. J Pain. 2016;17(2):158–66.

    Article  Google Scholar 

  9. Huang JH, Zager EL. Thoracic outlet syndrome. Neurosurgery. 2004;55(4):897–903.

    Article  Google Scholar 

  10. Gottschalk A, Durieux ME, Nemergut EC. Intraoperative methadone improves postoperative pain control in patients undergoing complex spine surgery. Anesth Analg. 2011;112(1):218–23.

    Article  CAS  Google Scholar 

  11. Grass JA. Patient-controlled analgesia. Anesth Analg. 2005;101(5S):S44–61.

    Article  CAS  Google Scholar 

  12. Karmakar MK. Thoracic paravertebral block. In: Atlas of ultrasound-guided regional anesthesia. Philadelphia: Elsevier; 2019. p. 286–315.

    Chapter  Google Scholar 

  13. Conacher ID, Kokri M. Postoperative para vertebral blocks for thoracic surgery: a radiological appraisal. Br J Anaesth. 1987;59(2):155–61.

    Article  CAS  Google Scholar 

  14. Kotze A, Scally A, Howell S. Efficacy and safety of different techniques of paravertebral block for analgesia after thoracotomy: a systematic review and metaregression. Br J Anaesth. 2009;103(5):626–36.

    Article  CAS  Google Scholar 

  15. Horlocker TT, Wedel DJ, Benzon H, Brown DL, Enneking KF, Heit JA, Mulroy MF, Rosenquist RW, Rowlingson J, Tryba M, Yuan CS. Regional anesthesia in the anticoagulated patient: defining the risks (the second ASRA consensus conference on neuraxial anesthesia and anticoagulation). Reg Anesth Pain Med. 2003;28(3):172–97.

    PubMed  Google Scholar 

  16. Pandit JJ, Dutta D, Morris JF. Spread of injectate with superficial cervical plexus block in humans: an anatomical study. Br J Anaesth. 2003;91(5):733–5.

    Article  CAS  Google Scholar 

  17. Kelly DJ, Ahmad M, Brull SJ. Preemptive analgesia I: physiological pathways and pharmacological modalities. Can J Anaesth. 2001;48(10):1000–10.

    Article  CAS  Google Scholar 

  18. De Cosmo G, Aceto P, Gualtieri E, Congedo E. Analgesia in thoracic surgery. Minerva Anestesiol. 2008;75(6):393–400.

    PubMed  Google Scholar 

  19. Bieri D, Reeve RA, Champion GD, Addicoat L, Ziegler JB. The faces pain scale for the self-assessment of the severity of pain experienced by children: development, initial validation, and preliminary investigation for ratio scale properties. Pain. 1990;41(2):139–50.

    Article  Google Scholar 

  20. Vargas-Schaffer G. Is the WHO analgesic ladder still valid?: twenty-four years of experience. Can Fam Physician. 2010;56(6):514–7.

    PubMed  PubMed Central  Google Scholar 

  21. Gan TJ, Habib AS, Miller TE, White W, Apfelbaum JL. Incidence, patient satisfaction, and perceptions of post-surgical pain: results from a US national survey. Curr Med Res Opin. 2014;30(1):149–60.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Johns Hopkins Hospital, Baltimore, MD, USA

    Chelsea Thomas & Kara Segna

Authors
  1. Chelsea Thomas
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kara Segna
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Kara Segna .

Editor information

Editors and Affiliations

  1. Vascular Surgeon, Charleston, SC, USA

    Karl A. Illig

  2. Center for Thoracic Outlet Syndrome and Section of Vascular Surgery, Washington University School of Medicine and Barnes-Jewish Hospital, Saint Louis, MO, USA

    Robert W. Thompson

  3. Wake Forest Baptist Health, Wake Forest School of Medicine, Atrium Health, Department of Vascular and Endovascular Surgery, Winston-Salem, NC, USA

    Julie Ann Freischlag

  4. Department of Thoracic Surgery, Massachusetts General Hospital Department of Thoracic Surgery, Boston, MA, USA

    Dean M. Donahue

  5. Neurological Associates, The Interventional Group, Santa Monica, CA, USA

    Sheldon E. Jordan

  6. Division of Vascular Surgery and Endovascular Therapy, Johns Hopkins School of Medicine, Baltimore, MD, USA

    Ying Wei Lum

  7. UCLA Medical Center, Los Angeles, CA, USA

    Hugh A. Gelabert

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Thomas, C., Segna, K. (2021). Perioperative Pain Management for Thoracic Outlet Syndrome Surgery. In: Illig, K.A., et al. Thoracic Outlet Syndrome. Springer, Cham. https://doi.org/10.1007/978-3-030-55073-8_44

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-55073-8_44

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-55072-1

  • Online ISBN: 978-3-030-55073-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation