Perioperative epidural analgesia and outcome after major abdominal surgery in high-risk patients

Anesthesia and Analgesia

Volumn 96, Issue 2, 2003, Pages 548-554

  Peyton, Philip J ^a   Myles, Paul S ^a   Silbert, Brendan S ^a   Rigg, John A ^a   Jamrozik, Konrad ^a   Parsons, Richard ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

BUPIVACAINE; FENTANYL; LOCAL ANESTHETIC AGENT; NARCOTIC ANALGESIC AGENT; NONSTEROID ANTIINFLAMMATORY AGENT; OPIATE; PARACETAMOL; PETHIDINE; ROPIVACAINE;

ABDOMINAL SURGERY; AGED; ANALGESIA; AORTA SURGERY; ARTICLE; ARTIFICIAL VENTILATION; CARDIOVASCULAR DISEASE; CLINICAL PRACTICE; CONTROLLED STUDY; EPIDURAL ANESTHESIA; HIGH RISK PATIENT; HUMAN; INCIDENCE; INTENSIVE CARE UNIT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MORBIDITY; PERIOPERATIVE PERIOD; POSTOPERATIVE ANALGESIA; POSTOPERATIVE PAIN; PRIORITY JOURNAL; RESPIRATORY FAILURE; SURGICAL MORTALITY; SURGICAL PATIENT; TREATMENT OUTCOME;

EID: 0037304141     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000539-200302000-00046     Document Type: Article

References (11)

1. Rodgers A, Walker N, Schug S, et al. Reduction of postoperative mortality and morbidity with epidural or spinal anesthesia: results from overview of randomized trials. BMJ 2000;321:1493-7.
2. Rigg JRA, Jamrozik K, Myles PS, et al. Epidural anesthesia and analgesia and outcome of major surgery: a randomized trial. Lancet 2002;359:1276-82.
3. Park W, Thompson J, Lee K. Effect of epidural anesthesia and analgesia on perioperative outcome: a randomized, controlled Veterans Affairs cooperative study. Ann Surg 2001; 234:560-71.
4. Ballantyne J, Carr D, deFerranti S, et al. The comparative effects of postoperative analgesic therapies on pulmonary outcome: cumulative meta-analyses of randomized, controlled trials. Anesth Analg 1998;86:598-612.
5. Beattie W, Badner N, Choi P. Epidural analgesia reduces postoperative myocardial infarction: a meta-analysis. Anesth Analg 2001;93:853-8.
6. Bode RH Jr, Lewis KP, Zarich SW, et al. Cardiac outcome after peripheral vascular surgery: comparison of general and regional anesthesia. Anesthesiology 1996;84:3-13.
7. LeLorier J, Grégoire G, Benhaddad A, et al. Discrepancies between meta-analyses and subsequent large randomized, controlled trials. N Engl J Med 1997;337:536-42.
8. Myles P. Why we need large randomized studies in anesthesia. Br J Anaesth 1999;83:833-4.
9. Rigg JRA, Jamrozik K, Myles PS, et al. Design of the multicenter Australian study of epidural anesthesia and analgesia in major surgery: the MASTER Trial. Control Clin Trials 2000;21:244-56.
10. Pogue J, Yusuf S. Overcoming the limitations of current metaanalysis of randomized controlled trials. Lancet 1998;351:47-52.
11. Yusuf S, Collins R, Peto R. Why do we need some large simple randomized trials? Stat Med 1984;3:409-20.