Epidural anesthesia and analgesia did not reduce most comorbid outcomes in high-risk patients having major abdominal surgery.
نویسنده
چکیده
منابع مشابه
Regional techniques and outcome: what is the evidence?
PURPOSE OF REVIEW Despite some controversy regarding the strength of the available data, the use of regional anesthesia and analgesia does provide improvement in patient outcomes. Although the majority of available data have examined the effect of epidural anesthesia and analgesia on patient outcomes, an increasing number of studies recently have investigated the effect of peripheral regional t...
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BACKGROUND The efficacy of epidural anesthesia and analgesia in management of perioperative stress has been established. Perioperative pain management strategies decrease surgical complications and aid recovery. In this study, we aimed to document and compare the efficacy of epidural bupivacaine and intravenous meperidine on recovery of patients with elective abdominal aortic surgery performed ...
متن کاملDouble-masked randomized trial comparing alternate combinations of intraoperative anesthesia and postoperative analgesia in abdominal aortic surgery.
BACKGROUND Improvement in patient outcome and reduced use of medical resources may result from using epidural anesthesia and analgesia as compared with general anesthesia and intravenous opioids, although the relative importance of intraoperative versus postoperative technique has not been studied. This prospective, double-masked, randomized clinical trial was designed to compare alternate comb...
متن کاملEffects of two different anesthesia-analgesia methods on incidence of postoperative delirium in elderly patients undergoing major thoracic and abdominal surgery: study rationale and protocol for a multicenter randomized controlled trial
BACKGROUND Delirium is a common complication in elderly patients after surgery and associated with increased morbidity and mortality. Studies suggest that deep anesthesia and intense pain are important precipitating factors of postoperative delirium. Neuraxial block is frequently used in combination with general anesthesia for patients undergoing major thoracic and abdominal surgery. Compared w...
متن کاملThoracic Epidural Anaesthesia Was Not Able to Attenuate Stress-Induced Immunosuppression in Patients Undergoing Major Abdominal Surgery
Background: Blunting the perioperative stress response and preserving immune function are critical issues for patients undergoing major abdominal surgery. Aim: The present study investigated whether perioperative thoracic epidural block affects postoperative immune response in patients undergoing major abdominal surgery. Patients and Methods: Patients undergoing major abdominal surgery were ran...
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عنوان ژورنال:
- ACP journal club
دوره 137 3 شماره
صفحات -
تاریخ انتشار 2002