Key result
Recent meta-analyses and large randomized controlled studies suggest that perioperative use of thoracic epidural analgesia remains beneficial for patients undergoing thoracic and open abdominal surgery and in high-risk patients.
Why the study?
Does perioperative epidural analgesia improve clinical outcomes and pain management in patients undergoing major surgery compared to alternative analgesic techniques?
Does perioperative epidural analgesia improve clinical outcomes and pain management in patients undergoing major surgery compared to alternative analgesic techniques?
Thoracic epidural analgesia continues to play an important role in perioperative pain management and complication reduction for major thoracic and abdominal surgeries, despite the advent of newer alternative analgesic modalities.
Supports thoracic epidural use in high-risk thoracic/abdominal surgery; extends meta-analytic evidence while leaving optimal alternatives open.
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Sakura et al. (2014) conducted a review in Patients undergoing major surgery. Perioperative epidural analgesia vs. Alternative analgesic techniques (e.g., systemic opioids, peripheral nerve blocks) was evaluated. Recent meta-analyses and large randomized controlled studies suggest that perioperative use of thoracic epidural analgesia remains beneficial for patients undergoing thoracic and open abdominal surgery and in high-risk patients.
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