Research progress of local administration of dexmedetomidine in analgesia after video-assisted thoracoscopic pneumonectomy
Video-assisted thoracic surgery(VATS)has gradually become the main surgical method for lung resection due to its advantages of shortening operation time,improving patient tolerance and improving postoperative rehabilitation.However,there is no uniform standard for the choice of postoperative analgesia after VATS pneumonectomy.In recent years,with the continuous development and application of multimodal analgesia,the use of thoracic paravertebral block(TPVB),thoracic epidural anesthesia(TEA),intercostal nerve block(INB)and erector spinae plane block(ESPB)and other analgesic methods combined with various sedative and analgesic drugs can significantly improve the perioperative analgesic effect of patients,reduce the consumption of postoperative analgesics,prevent postoperative complications.This article reviews the latest progress of dexmedetomidine(DEX)as an adjuvant combined with different methods of regional nerve block in postoperative analgesia after VATS pneumonectomy,in order to provide reference for its clinical application.
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