Why the study?
Implementation of enhanced recovery after surgery protocols and shifts from open to laparoscopic surgery have diminished the advantages of epidural anesthesia, prompting a re-evaluation of its perioperative role.
Does epidural anesthesia improve perioperative analgesia compared to alternative methods in patients undergoing abdominal surgery with ERAS protocols?
Population
Patients undergoing open and laparoscopic abdominal surgery across two meta-analyses
Comparison
Epidural analgesia vs control or alternative analgesia methods
Design
Review summarizing two meta-analyses
Authors
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May warrant reduced EA reliance in laparoscopic ERAS cases; leaves open optimal analgesia strategies in contemporary protocols.
Does epidural anesthesia improve perioperative analgesia compared to alternative methods in patients undergoing abdominal surgery with ERAS protocols?
In the era of ERAS protocols, epidural anesthesia for abdominal surgery is no longer the preferred standard of care due to a lack of clinical superiority and a higher risk of serious neurological complications.
Wagemans et al. (2020) studied this question.
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