Key result
Epidural morphine after total esophagectomy reduced ICU stay by 2.5 days, total hospital stay by 7 days, and saved Canadian $12,770 per patient compared to intravenous morphine.
Why the study?
Does epidural morphine reduce length of hospital stay and cost in patients who had total esophagectomy compared to intravenous morphine?
Cohort (n=19)
Does epidural morphine reduce length of hospital stay and cost in patients who had total esophagectomy compared to intravenous morphine?
Effect estimate: Reduced ICU stay by 2.5 days and total hospital stay by 7 days
Epidural morphine for postoperative pain relief after total esophagectomy reduces ICU stay, total hospital stay, and associated costs compared to intravenous morphine.
May inform analgesia choices after esophagectomy; leaves open confirmation of benefits in randomized trials.
Intraoperative and postsurgical epidurally administered pain relief is associated with reduced morbidity. We reviewed the charts of 19 patients who had total esophagectomy to see whether the method of postoperative pain relief influenced the length of hospital stay and cost of the procedure. The patients received either intravenous (group M) or epidural (group E) morphine for postoperative pain. The length of stay in the intensive care unit was reduced by 2 1/2 days and total hospital stay by 7 days in the epidural group. This resulted in a saving of Canadian $12,770 per patient.
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Smedstad et al. (1992) conducted a cohort in Total esophagectomy (n=19). Epidural morphine vs. Intravenous morphine was evaluated on Length of hospital stay and cost of the procedure (Reduced ICU stay by 2.5 days and total hospital stay by 7 days). Epidural morphine after total esophagectomy reduced ICU stay by 2.5 days, total hospital stay by 7 days, and saved Canadian $12,770 per patient compared to intravenous morphine.
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