Postoperative thoracic epidural anesthesia in gastrointestinal surgery: Outcomes, quality of Life, and current controversies

Desmond C. Winter, Eric J. Dozois, John H. Pemberton

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

Introduction: Quality of Life (QoL) may be reduced by postoperative pain and improving analgesic techniques, including local and regional techniques, may impact on this important healthcare measurement. This study focused on the QoL issues surrounding thoracic epidural analgesia used in patients undergoing gastrointestinal surgery. Methods: A review of the published literature (English language, electronic search) was undertaken using the terms: quality of life, analgesia, epidural, thoracic epidural, regional anesthesia, gastrointestinal surgery, colon and rectal surgery, abdominal surgery, major surgery, complications, pain scores. There were no exclusions and all relevant literature was included in the breadth of discussion. Results: Epidural analgesia may improve pain, sedation scores, pulmonary function, tissue oxygenation, and QoL but there may be little impact on overall patient morbidity and mortality. The relative paucity of data and diminutive power of many clinical studies represent a challenge to establishing superiority or equivalence of epidurals over patient-controlled opiate analgesia but emerging evidence suggests an improved QoL, perhaps through less sedation and faster recovery of gastrointestinal function. Conclusions: The benefits of postoperative thoracic epidural analgesia include better analgesia and overall well-being in addition to the intuitive advantages of less sedation and improved pulmonary function following gastrointestinal surgery.

Original languageEnglish (US)
Pages (from-to)75-77
Number of pages3
JournalCurrent Drug Therapy
Volume2
Issue number1
DOIs
StatePublished - Jan 1 2007

Keywords

  • Analgesia
  • Laparoscopic segmental colectomy
  • Protein catabolism
  • Quality Of Life (QoL)

ASJC Scopus subject areas

  • Pharmacology, Toxicology and Pharmaceutics(all)
  • Pharmacology (medical)

Fingerprint Dive into the research topics of 'Postoperative thoracic epidural anesthesia in gastrointestinal surgery: Outcomes, quality of Life, and current controversies'. Together they form a unique fingerprint.

  • Cite this