Key result
Thoracic epidural anesthesia reduces splanchnic sympathetic activity and ameliorates postoperative ileus after laparotomy, though its effects on intestinal perfusion remain unclear.
Why the study?
What are the effects of thoracic epidural anesthesia on intestinal perioperative pathophysiology?
Population
Patients undergoing major surgery, major laparoscopic procedures, or critical illness, as well as animal…
Design
Review
Authors
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May support epidural use to reduce ileus after laparotomy; leaves open perfusion effects for prospective trials.
What are the effects of thoracic epidural anesthesia on intestinal perioperative pathophysiology?
Thoracic epidural anesthesia reduces splanchnic sympathetic activity and improves postoperative ileus, but its effects on intestinal perfusion and anastomotic healing require further research.
Freise et al. (2009) conducted a review in Major surgery / perioperative pathophysiology. Thoracic epidural anesthesia (TEA) was evaluated. Thoracic epidural anesthesia reduces splanchnic sympathetic activity and ameliorates postoperative ileus after laparotomy, though its effects on intestinal perfusion remain unclear.
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