Key result
Thoracic epidural analgesia for major abdominal surgery decreases opioid use and prevents chronic postoperative pain, although overall complication incidence may not depend on the type of anesthesia.
Why the study?
Does continuous epidural analgesia combined with general anaesthesia improve postoperative recovery and reduce complications in patients undergoing major abdominal surgery?
Does continuous epidural analgesia combined with general anaesthesia improve postoperative recovery and reduce complications in patients undergoing major abdominal surgery?
Thoracic epidural analgesia combined with general anaesthesia for major abdominal surgery decreases opioid use and helps prevent chronic postoperative pain.
Answers are grounded in this paper and cite their sources.
May support thoracic epidural analgesia to reduce opioids and chronic pain after abdominal surgery; leaves open effects on overall complications.
Review article summarizes current knowledge of general and epidural anaesthesia combination for major abdominal surgery and incidence of postoperative complications. Continuous epidural local anaesthetics especially through thoracic placed epidural catheter decrease opioids use and as part of "acute rehabilitation" plays important role in postoperative recovery. Most of the studies showed tion is not dependent on kind of anaesthesia and analgesia. Successfully treated postoperative pain prevents chronic postoperative pain, which is best achieved in abdominal surgery with thoracic epidural use.
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Stamenković et al. (2007) conducted a review in Major abdominal surgery. Thoracic epidural analgesia combined with general anesthesia was evaluated on Postoperative complications and pain. Thoracic epidural analgesia for major abdominal surgery decreases opioid use and prevents chronic postoperative pain, although overall complication incidence may not depend on the type of anesthesia.
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