Postoperative Pulmonary Function After Open Abdominal Aortic Aneurysm Repair in Patients With Chronic Obstructive Pulmonary Disease: Epidural Versus Intravenous Analgesia

Panaretou, V.; Toufektzian, Levon; Siafaka, Ioanna; Kouroukli, I.; Sigala, Fragiska; Vlachopoulos, Charalambos; Katsaragakis, Stilianos; Zografos, George; Filis, Konstantinos

doi:10.1016/j.avsg.2011.04.009

Cited by 31 publications

(16 citation statements)

References 20 publications

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“…Another study examined epidural approaches in patients with chronic obstructive pulmonary disease undergoing open surgery for abdominal aortic aneurysm, and it was determined that both epidural anesthesia and postoperative epidural analgesia improved postoperative respiratory function and reduced postoperative pain in comparison with general anesthesia and systemic analgesia. 43 One review also suggested that TEA may be a cornerstone of a multifaceted strategy for improving (pain) outcomes in lung transplantation. TEA was demonstrated to decrease the duration of mechanical ventilation, as well as ICU length of stay and number of respiratory complications.…”

Section: Epidural Infusions In the Intensive Care Unitmentioning

confidence: 98%

Pain Management in the Critically Ill Patient

Erdek¹,

Gordon

2014

Practical Management of Pain

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Section: Epidural Infusions In the Intensive Care Unitmentioning

confidence: 98%

Pain Management in the Critically Ill Patient

Erdek¹,

Gordon

2014

Practical Management of Pain

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“…Well-conducted studies have found no significant correlation between postoperative pulmonary function tests (PFTs) and the incidence of pulmonary complications (19,20). But, recent study reported a benefit of postoperative PFTs (FVC and FEV1) on postoperative days 1 and 4, in chronic obstructive pulmonary disease (COPD) patients operated under combined general and epidural anesthesia and postoperative epidural analgesia compared with COPD patients with general anesthesia and intravenous analgesia 820).…”

Section: Pulmonary Systemmentioning

confidence: 99%

Benefits, Risks and Complications of Perioperative Use of Epidural Anesthesia

Unic-Stojanovic¹,

Babić²,

Jović³

2012

Med Arh

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Use of thoracic epidurals is widespread for intraoperative and postoperative analgesia. Thoracic epidural anaesthesia (TEA) reduces sympathetic activity and thereby influences perioperative function of vital organ systems. A results of recent studies suggest that TEA decreases postoperative morbidity and mortality. There is better pain control with TEA in a wide range of surgical procedures. Use of TEA is associated with the risk of harm, but also the other methods used to control perioperative pain and stress response carry specific risks. Timely diagnosis and treatment of spinal compression or infection are crucial to ensure patient safety with TEA. The benefits of TEA outweigh the risks with respect to the perioperative outcome and organ protection, if basic guidelines are followed.

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“…Postoperative pulmonary function, mobilization, food intake and general well-being are all increased (Catro-Alves 2011). Its benefit on postoperative analgesia is most evident in surgery involving high-risk surgery or high-risk patients (Siriussawakul 2010;van Lier 2011;Panaretou 2012). …”

Section: Physiological Reactions To Surgerymentioning

confidence: 99%