Key result
Thoracic epidural anesthesia fails to reduce arrhythmias after transthoracic esophagectomy compared to IV analgesia.
Why the study?
Does thoracic epidural anesthesia reduce the incidence of arrhythmias in patients undergoing transthoracic esophagectomy?
Population
185 patients who underwent the Ivor-Lewis operation between 2001 and 2004 by the same operator
Comparison
Thoracic epidural anesthesia administered either… vs Post-operative intravenous patient-controlled…
Design
Cohort
Follow-up
Post-operative period
Authors
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TEA shows no arrhythmia reduction in retrospective esophagectomy data; leaves open whether randomized trials might identify responsive subgroups.
Cohort (n=185)
Does thoracic epidural anesthesia reduce the incidence of arrhythmias in patients undergoing transthoracic esophagectomy?
Absolute Event Rate: 29.2% vs 29.3%
Thoracic epidural anesthesia does not appear to reduce the incidence of postoperative arrhythmias in patients undergoing transthoracic esophagectomy.
Ahn et al. (2005) conducted a cohort in Transthoracic esophagectomy (n=185). Thoracic epidural anesthesia vs. Intravenous patient-controlled analgesia without TEA was evaluated on Incidence of arrhythmias. Thoracic epidural anesthesia did not significantly reduce the incidence of arrhythmias after transthoracic esophagectomy compared to intravenous analgesia without TEA (29.2% vs 29.3%).
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