Effect of postoperative epidural analgesia on surgical outcome.

Research output: Contribution to journal › Review › Research

Standard

Effect of postoperative epidural analgesia on surgical outcome. / Holte, K; Holte, Kathrine.

In: Minerva Anestesiologica, Vol. 68, No. 4, 2002, p. 157-161.

Research output: Contribution to journal › Review › Research

Harvard

Holte, K & Holte, K 2002, 'Effect of postoperative epidural analgesia on surgical outcome.', Minerva Anestesiologica, vol. 68, no. 4, pp. 157-161. <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12024074&query_hl=7>

APA

Holte, K., & Holte, K. (2002). Effect of postoperative epidural analgesia on surgical outcome. Minerva Anestesiologica, 68(4), 157-161. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12024074&query_hl=7

Vancouver

Holte K, Holte K. Effect of postoperative epidural analgesia on surgical outcome. Minerva Anestesiologica. 2002;68(4):157-161.

Author

Holte, K ; Holte, Kathrine. / Effect of postoperative epidural analgesia on surgical outcome. In: Minerva Anestesiologica. 2002 ; Vol. 68, No. 4. pp. 157-161.

Bibtex

@article{a2937b0723bb4d89a18fc3cb02f89f5a,
title = "Effect of postoperative epidural analgesia on surgical outcome.",
abstract = "Pain relief allowing sufficient mobilization after major surgical procedures can only be achieved by continuous epidural analgesia with local anesthetics, which also reduces the stress response to surgery. However, the role of postoperative epidural analgesia on postoperative morbidity is controversial. We therefore update the effects of postoperative analgesia on surgical outcome. After major abdominal surgery, postoperative epidural analgesia with local anesthetics significantly reduces postoperative ileus and pulmonary complications while effects on cardiac morbidity are debatable. Continuous epidural analgesia significantly lowers the risk of thromboembolic complications after lower body procedures, while no effect is seen after major abdominal surgery. Unfortunately, many studies have inadequate study design, with use of lumbar epidural analgesia for abdominal procedures, or the epidural regimen does not contain a sufficient amount of local anesthetics. Future evaluation of the effects of epidural analgesia on postoperative outcome also requires integration of epidural analgesia within a multimodal rehabilitation programme.",
author = "K Holte and Kathrine Holte",
year = "2002",
language = "English",
volume = "68",
pages = "157--161",
journal = "Minerva Anestesiologica",
issn = "0375-9393",
publisher = "EdizioniMinerva Medica",
number = "4",

}

RIS

TY - JOUR

T1 - Effect of postoperative epidural analgesia on surgical outcome.

AU - Holte, K

AU - Holte, Kathrine

PY - 2002

Y1 - 2002

N2 - Pain relief allowing sufficient mobilization after major surgical procedures can only be achieved by continuous epidural analgesia with local anesthetics, which also reduces the stress response to surgery. However, the role of postoperative epidural analgesia on postoperative morbidity is controversial. We therefore update the effects of postoperative analgesia on surgical outcome. After major abdominal surgery, postoperative epidural analgesia with local anesthetics significantly reduces postoperative ileus and pulmonary complications while effects on cardiac morbidity are debatable. Continuous epidural analgesia significantly lowers the risk of thromboembolic complications after lower body procedures, while no effect is seen after major abdominal surgery. Unfortunately, many studies have inadequate study design, with use of lumbar epidural analgesia for abdominal procedures, or the epidural regimen does not contain a sufficient amount of local anesthetics. Future evaluation of the effects of epidural analgesia on postoperative outcome also requires integration of epidural analgesia within a multimodal rehabilitation programme.

AB - Pain relief allowing sufficient mobilization after major surgical procedures can only be achieved by continuous epidural analgesia with local anesthetics, which also reduces the stress response to surgery. However, the role of postoperative epidural analgesia on postoperative morbidity is controversial. We therefore update the effects of postoperative analgesia on surgical outcome. After major abdominal surgery, postoperative epidural analgesia with local anesthetics significantly reduces postoperative ileus and pulmonary complications while effects on cardiac morbidity are debatable. Continuous epidural analgesia significantly lowers the risk of thromboembolic complications after lower body procedures, while no effect is seen after major abdominal surgery. Unfortunately, many studies have inadequate study design, with use of lumbar epidural analgesia for abdominal procedures, or the epidural regimen does not contain a sufficient amount of local anesthetics. Future evaluation of the effects of epidural analgesia on postoperative outcome also requires integration of epidural analgesia within a multimodal rehabilitation programme.

M3 - Review

VL - 68

SP - 157

EP - 161

JO - Minerva Anestesiologica

JF - Minerva Anestesiologica

SN - 0375-9393

IS - 4

ER -

ID: 34175202