2003
DOI: 10.1177/096721090301100301
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Epidural Analgesia in Patients with Chronic Obstructive Pulmonary Disease Undergoing Transperitoneal Abdominal Aortic Aneurysmorraphy — A Multi-Institutional Analysis

Abstract: Introduction: Patients with chronic obstructive pulmonary disease (COPD) are more likely to develop pulmonary morbidity following major abdominal surgery. The purpose of this study was to examine the utility of epidural analgesia in patients with COPD who underwent elective transperitoneal abdominal aortic aneurysm (AAA) repair. Methods: During a 7-year period, all patients diagnosed with COPD undergoing elective AAA repair ( n=425) from three hospitals were reviewed. Inclusion criteria were an FEV1/FVC ratio … Show more

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Cited by 4 publications
(1 citation statement)
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“…Given improved postoperative outcomes, the Enhanced Recovery After Surgery (ERAS) and the American Heart Association guidelines recommend extubation of patients undergoing cardiac surgery within 6 hours postoperatively for mild to moderate risk patients (1,7). Various interventions have been attempted to decrease time to extubation in this patient population including limiting opioids, avoiding benzodiazepines, and implementing multidisciplinary protocols (20)(21)(22)(23). However, given the complexity of surgery and multitude of patient comorbidities, the 6-hour extubation goal is often difficult to achieve consistently.…”
Section: Discussionmentioning
confidence: 99%
“…Given improved postoperative outcomes, the Enhanced Recovery After Surgery (ERAS) and the American Heart Association guidelines recommend extubation of patients undergoing cardiac surgery within 6 hours postoperatively for mild to moderate risk patients (1,7). Various interventions have been attempted to decrease time to extubation in this patient population including limiting opioids, avoiding benzodiazepines, and implementing multidisciplinary protocols (20)(21)(22)(23). However, given the complexity of surgery and multitude of patient comorbidities, the 6-hour extubation goal is often difficult to achieve consistently.…”
Section: Discussionmentioning
confidence: 99%