<p>Postoperative Thoracic Epidural Analgesia: Adverse Events from a Single-Center Series of 3126 Patients</p>

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Thoracic epidural analgesia

We read with great interest the editorial by Kamming and Davies [1] regarding the choice of thoracic epidural anaesthesia in cardiac surgery. While the authors provided an interesting analysis, we believe their conclusion regarding the 50% chance of this technique’s failure warrants further comment. Kamming and Davies reported that in two large studies [2,3] ‘epidurals have failed to achieve ad...

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Adverse events of postoperative thoracic epidural analgesia: A retrospective analysis of 7273 cases in a tertiary care teaching hospital.

BACKGROUND Thoracic epidural analgesia is a well established technique for postoperative pain relief after major abdominal and thoracic surgery. Safety remains a major concern because of serious adverse events including epidural haematoma, abscess and permanent neurological deficit. OBJECTIVE The aim of this study was to evaluate the incidence and the long-term outcome of serious adverse even...

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Thoracic Epidural and Paravertebral Analgesia

Thoracotomies are among the most painful of surgical incisions. Postoperatively, the movement of the chest with each breath increases the pain, and patients often “splint” to the point of hypercapnea or hypoxia. Substantial analgesia is required to avoid postoperative respiratory complications, but heavy opioid use blunts the respiratory drive and may itself be associated with postoperative com...

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The Effectiveness of Preemptive Thoracic Epidural Analgesia in Thoracic Surgery

BACKGROUND The aim of this study is to investigate the effectiveness of preemptive thoracic epidural analgesia (TEA) comparing conventional postoperative epidural analgesia on thoracotomy. MATERIAL AND METHODS Forty-four patients were randomized in to two groups (preemptive: Group P, control: Group C). Epidural catheter was inserted in all patients preoperatively. In Group P, epidural analges...

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Thoracic epidural analgesia after cardiac surgery.

To the Editor:—In a recent letter, Erickson and Lanier reported on a useful method to preoxygenate claustrophobic patients who will not tolerate a facemask, by having the patients hold the L-connector of the anesthesia circuit in their mouth. They may be interested to know that an identical method, complete with an almost identical photograph, was published as a correspondence by Keifer and Sti...

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ژورنال

عنوان ژورنال: Local and Regional Anesthesia

سال: 2020

ISSN: 1178-7112

DOI: 10.2147/lra.s272410