Why the study?
Does thoracic epidural analgesia started after cardiopulmonary bypass improve adrenergic, respiratory, and pain responses in cardiac surgical patients?
Population
16 cardiac surgical patients undergoing cardiopulmonary bypass
Comparison
Thoracic epidural analgesia started after… vs Standardized general anaesthetic followed by an…
Design
Cohort
Follow-up
postoperative period
Authors
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May support thoracic epidural analgesia after CPB in cardiac surgery; leaves open confirmation in randomized trials.
Does thoracic epidural analgesia started after cardiopulmonary bypass improve adrenergic, respiratory, and pain responses in cardiac surgical patients?
Thoracic epidural analgesia initiated after cardiopulmonary bypass effectively blunts the adrenergic stress response, improves postoperative respiratory function, and provides superior pain relief compared to intravenous morphine.
Fawcett et al. (1997) studied this question.
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