Key result
Epidural supplementation of general anesthesia is linked to ~76% fewer major complications versus general anesthesia alone.
Why the study?
Does the combination of epidural and general anesthesia improve flap survival and reduce complications compared to general anesthesia alone in patients undergoing free flaps to the lower extremity?
Population
35 consecutive patients (36 operations) undergoing free tissue transfer to the lower extremity
Comparison
Combination of epidural and general anesthesia vs General anesthesia alone
Design
Cohort
Authors
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May support epidural supplementation for lower extremity free flaps; leaves open need for randomized confirmation before practice change.
Cohort (n=35)
Does the combination of epidural and general anesthesia improve flap survival and reduce complications compared to general anesthesia alone in patients undergoing free flaps to the lower extremity?
Absolute Event Rate: 100% vs 95%
Epidural supplementation of general anesthesia for lower extremity free flaps is associated with excellent flap survival and reduced microvascular complications.
Scott et al. (1993) conducted a cohort in Free flaps to the lower extremity (n=35). Epidural and general anesthesia vs. General anesthesia alone was evaluated on Flap success. Epidural supplementation of general anesthesia for lower extremity free flaps was associated with 100% flap survival and fewer major complications (6% vs 25%) compared to general anesthesia alone.
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