Why the study?
Does preoperative epidural anesthesia with morphine reduce blood loss and improve postoperative analgesia in patients undergoing posterior lumbar spinal fusion?
Population
40 patients undergoing posterior lumbar spinal fusion
Comparison
Preoperative epidural anesthesia with morphine… vs Inhalation general anesthesia with sevoflurane…
Design
RCT, randomized, single-blinded
Follow-up
3 days after surgery
Authors
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Supports epidural morphine for blood conservation in lumbar fusion; extends regional anesthesia evidence in spine RCTs.
Does preoperative epidural anesthesia with morphine reduce blood loss and improve postoperative analgesia in patients undergoing posterior lumbar spinal fusion?
Preoperative epidural anesthesia with morphine for posterior lumbar spinal fusion maintains more stable hypotension, reduces surgical bleeding, and improves postoperative pain control compared to general anesthesia alone.
Yoshimoto et al. (2005) studied this question.
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