Efficacy of Continuous Epidural Analgesia versus Total Intravenous Analgesia on Postoperative Pain Control in Endovascular Abdominal Aortic Aneurysm Repair: A Retrospective Case-Control StudyReport as inadecuate




Efficacy of Continuous Epidural Analgesia versus Total Intravenous Analgesia on Postoperative Pain Control in Endovascular Abdominal Aortic Aneurysm Repair: A Retrospective Case-Control Study - Download this document for free, or read online. Document in PDF available to download.

BioMed Research International - Volume 2014 2014, Article ID 205164, 5 pages -

Clinical StudyDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Recep Tayyip Erdogan University, 53100 Rize, Turkey

Received 25 December 2013; Revised 2 March 2014; Accepted 17 March 2014; Published 7 April 2014

Academic Editor: Ahmet Eroglu

Copyright © 2014 Ahmet Şen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We reviewed our experience to compare the effectiveness of epidural analgesia and total intravenous analgesia on postoperative pain control in patients undergoing endovascular abdominal aortic aneurysm repair. Records of 32 patients during a 2-year period were retrospectively investigated. TIVA group received total intravenous anesthesia, and EA group received epidural anesthesia and sedation. Pain assessment was performed on all patients on a daily basis during rest and activity on postoperative days until discharge from ward using the numeric rating scale. Data for demographic variables, required anesthetic level, perioperative hemodynamic variables, postoperative pain, and morbidities were recorded. There were no relevant differences concerning hospital stay TIVA group: 14.1 ± 7.0, EA group: 13.5 ± 7.1, perioperative blood pressure variability TIVA group: 15.6 ± 18.1, EA group: 14.8 ± 11.5, and perioperative hemodynamic complication rate TIVA group: 17%, EA group: 14%. Postoperative pain scores differed significantly TIVA group: 5.4 ± 0.9, EA group: 1.8 ± 0.8, . Epidural anesthesia and postoperative epidural analgesia better reduce postoperative pain better compared with general anesthesia and systemic analgesia, with similar effects on hemodynamic status.





Author: Ahmet Şen, Başar Erdivanlı, Abdullah Özdemir, Hızır Kazdal, and Ersagun Tuğcugil

Source: https://www.hindawi.com/



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