Key result
Epidural anesthesia with opioids improves postoperative pain without increasing ileus risk versus intravenous analgesia.
Why the study?
Postoperative pain following abdominal surgery must be prevented, but the period is challenging due to surgical side effects in addition to pain.
Does epidural anesthesia with opioids cause postoperative ileum in patients undergoing open colorectal surgeries?
Does epidural anesthesia with opioids cause postoperative ileum in patients undergoing open colorectal surgeries?
This review suggests that the use of opioids in epidural anesthesia for open colorectal surgeries does not contribute to postoperative ileum.
Supports epidural opioids for pain control without ileus risk in open colorectal surgery; hypothesis-generating, requires prospective RCTs.
This is a short review describing recent data on the use of opioids in epidural anesthesia on abdominal surgery. It is known that postoperative pain has nociceptive, inflammatory and neuropathic components and must be prevented. The period following abdominal surgery is particularly challenging because it has other side effects related to the surgery, in addition to pain. Limiting these unwanted consequences requires a multidisciplinary team.
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D et al. (2022) conducted a review in Postoperative pain and ileus in open colorectal surgeries. Epidural anesthesia with opioids vs. Intravenous analgesia was evaluated on Incidence of postoperative ileus. Epidural anesthesia with opioids in open colorectal surgeries does not increase the incidence of postoperative ileus and is more effective in treating postoperative pain than intravenous analgesia.
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