Key result
This review discusses the evidence, merits, and setbacks of various multi-modal analgesic techniques, including thoracic epidural analgesia, for patients undergoing open abdominal surgery.
Why the study?
Do multi-modal analgesic techniques improve patient outcomes in patients undergoing open abdominal surgery?
Do multi-modal analgesic techniques improve patient outcomes in patients undergoing open abdominal surgery?
This review highlights the ongoing debate regarding the optimal multi-modal analgesic technique for open abdominal surgery within ERAS programs.
Optimal multi-modal analgesia for open abdominal surgery remains unclear; leaves open best ERAS technique and need for prospective trials.
Optimal analgesia is a crucial part of enhanced recovery after surgery (ERAS) programs. It not only impacts on immediate patient comfort, but is increasingly being recognised as affecting important patient outcomes such as morbidity and length of stay. Following open abdominal surgery, the most favourable multi-modal analgesic technique, although historically included thoracic epidural analgesia, is now increasingly being debated. We review the evidence, both pre-ERAS and post-ERAS, for analgesic techniques for open abdominal surgery and discuss the potential merits and setbacks of different techniques.
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Wilson et al. (2019) conducted a review in Open abdominal surgery. Analgesic techniques was evaluated. This review discusses the evidence, merits, and setbacks of various multi-modal analgesic techniques, including thoracic epidural analgesia, for patients undergoing open abdominal surgery.
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