Key result
Thoracic epidural significantly lowered visual rating scale pain scores compared to morphine patient controlled analgesia in recovery (0 vs. 5.3) and at 24 hours (1.3 vs. 5.9).
Why the study?
Does thoracic epidural reduce post-operative pain compared to morphine patient controlled analgesia in patients undergoing laparoscopic colorectal surgery?
Observational (n=16)
Does thoracic epidural reduce post-operative pain compared to morphine patient controlled analgesia in patients undergoing laparoscopic colorectal surgery?
Absolute Event Rate: 0% vs 5.3%
Thoracic epidural provides superior pain relief compared to morphine patient-controlled analgesia in the first 24 hours following laparoscopic colorectal surgery.
May support thoracic epidural over PCA morphine for early pain relief after laparoscopic colorectal surgery; leaves open need for randomized confirmation.
Despite the benefits of the laparoscopic approach to colorectal surgerypatients still experience significant levels of pain post- operatively.This study aimed to compare the use of thoracic epidural vs. morphinepatient controlled analgesia in the management of pain afterlaparoscopic colorectal surgery. A retrospective analysis of hospitalrecords was performed for 16 patients undergoing laparoscopiccolorectal surgery (8 thoracic epidural, 8 patient controlled analgesia).Visual rating scale pain scores (0 � 10) were significantly lower forpatients managed with thoracic epidural in recovery (mean [95% CI] )(0 vs. 5.3 [3.6-6.9]), at 6 hours (1 [0-2.0] vs. 5.4 [4.2-6.5]), 12 hours(0.4 [0-1.1] vs. 4.4 [3.3-5.4]) and 24 hours (1.3 [0-2.8] vs. 5.9 [4.9-6.9]). Thoracic epidural offers the optimal analgesia and quality ofcare to the patient following laparoscopic colectomy.
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Dennis et al. (2008) conducted an observational in Pain after laparoscopic colorectal surgery (n=16). Thoracic epidural vs. Morphine patient controlled analgesia was evaluated on Visual rating scale pain scores (0-10) in recovery. Thoracic epidural significantly lowered visual rating scale pain scores compared to morphine patient controlled analgesia in recovery (0 vs. 5.3) and at 24 hours (1.3 vs. 5.9).
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