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September 1, 2003AnesthesiologyOpen Access

Thoracic Epidural Anesthesia

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Key result

Thoracic epidural anesthesia protected the gut from decreased microvascular perfusion and increased leukocyte-endothelium interaction associated with hemorrhage and retransfusion in an experimental model.

Why the study?

Does thoracic epidural anesthesia improve gut microvascular perfusion and reduce leukocyte-endothelium interaction in a hemorrhage model in rats?

Population

rats in a hemorrhage model

Design

Editorial

Authors

ASAndreas W. SielenkämperFerrer Grupo (Spain)HAHugo Van AkenUniversidad Mayor

Discussion

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Implication

Should not yet change clinical practice; leaves open translation of experimental gut protection to human hemorrhage.

Structured PICO

Does thoracic epidural anesthesia improve gut microvascular perfusion and reduce leukocyte-endothelium interaction in a hemorrhage model in rats?

P
Population
rats in a hemorrhage model
I
Intervention
thoracic epidural anesthesia (TEA)
O
Outcome
gut microvascular blood flow and leukocyte-endothelium interactionsurrogate

Thoracic epidural anesthesia may protect against splanchnic hypoperfusion and ischemia-reperfusion injury, though the exact mechanisms require further investigation.

Limitations

  • The precise mechanisms underlying the effects of TEA on splanchnic blood flow remain unclear.
  • The potential therapeutic uses of TEA beyond its use as an anesthetic or analgesic technique require further investigation.
  • Precise mechanisms underlying the effects of TEA on splanchnic blood flow remain unclear
  • Possible effects of absorbed local anesthetic cannot be excluded

Cite This Study

Sielenkämper et al. (2003) conducted an editorial in Splanchnic hypoperfusion and hemorrhage. Thoracic epidural anesthesia (TEA) was evaluated. Thoracic epidural anesthesia protected the gut from decreased microvascular perfusion and increased leukocyte-endothelium interaction associated with hemorrhage and retransfusion in an experimental model.

synapsesocial.com/papers/6aa2c9532e133cb72ffdce41https://doi.org/10.1097/00000542-200309000-00004
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Thoracic Epidural Anesthesia Increases Mucosal Perfusion in Ileum of Rats2000 · 112 citations
  2. 2Epidural Analgesia Reduces Postoperative Myocardial Infarction: A Meta-Analysis2001 · 513 citations
  3. 3Multimodal Perioperative Management—Combining Thoracic Epidural Analgesia, Forced Mobilization, and Oral Nutrition—Reduces Hormonal and Metabolic Stress and Improves Convalescence After Major Urologic Surgery2001 · 218 citations
  4. 4The Effects of Thoracic Epidural Anesthesia on Intraoperative Visceral Perfusion and Metabolism1999 · 69 citations
  5. 5Epidural Anesthesia Retards Intestinal Acidosis and Reduces Portal Vein Endotoxin Concentrations during Progressive Hypoxia in Rabbits2001 · 48 citations