Key result
Compared with systemic opioids, epidural opioids decreased the incidence of postoperative atelectasis (RR 0.53, 95% CI 0.33-0.85).
Why the study?
Do regional analgesic therapies improve postoperative pulmonary outcomes compared to systemic opioids in postoperative patients?
Population
Postoperative patients after a variety of procedures
Comparison
Postoperative analgesic therapies including… vs Systemic opioids
Design
Meta-analysis
Authors
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Supports epidural over systemic opioids to lower atelectasis risk; confirms benefit in Level 1 meta-analysis.
Meta-Analysis
Do regional analgesic therapies improve postoperative pulmonary outcomes compared to systemic opioids in postoperative patients?
Relative Risk: 0.53 (95% CI 0.33–0.85)
Postoperative epidural pain control, particularly with local anesthetics, significantly decreases the incidence of pulmonary morbidity compared to systemic opioids.
Ballantyne et al. (1998) conducted a meta-analysis in Postoperative patients. Epidural opioids vs. Systemic opioids was evaluated on Incidence of atelectasis (RR 0.53, 95% CI 0.33-0.85). Compared with systemic opioids, epidural opioids decreased the incidence of postoperative atelectasis (RR 0.53, 95% CI 0.33-0.85).
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