Cost Drivers in Patient-Controlled Epidural Analgesia for Postoperative Pain Management after Major Surgery

Anesthesia and Analgesia

Volumn 98, Issue 3, 2004, Pages 708-713

  Schuster, Martin ^a   Gottschalk, André ^a   Freitag, Marc ^a   Standl, Thomas ^a  

^a UNIVERSITY MEDICAL CENTER HAMBURG EPPENDORF   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

DIPYRONE; LOCAL ANESTHETIC AGENT; NONSTEROID ANTIINFLAMMATORY AGENT; OPIATE AGONIST; ROPIVACAINE; SUFENTANIL;

ABDOMINAL SURGERY; ADULT; AGED; ARTICLE; COST OF ILLNESS; DRUG COST; EPIDURAL ANESTHESIA; EPIDURAL CATHETER; FEMALE; GYNECOLOGIC SURGERY; HUMAN; INFUSION PUMP; MAJOR CLINICAL STUDY; MAJOR SURGERY; MALE; MONEY; ORTHOPEDIC SURGERY; PAIN ASSESSMENT; PATIENT CONTROLLED ANALGESIA; POSTOPERATIVE PAIN; PRIORITY JOURNAL; RETROSPECTIVE STUDY; THORAX SURGERY; VISUAL ANALOG SCALE;

EID: 1342288619     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/01.ANE.0000096040.02725.74     Document Type: Article

References (25)

1. Kehlet H, Holte K. Effect of postoperative analgesia on surgical outcome. Br J Anaesth 2001;87:62-72.
2. Liu SS, Carpenter RL, Mackey DC, et al. Effects of perioperative analgesic technique on rate of recovery after colon surgery. Anesthesiology 1995;83:757-65.
3. Capdevila X, Barthelet Y, Biboulet P, et al. Effects of perioperative analgesic technique on the surgical outcome and duration of rehabilitation after major knee surgery. Anesthesiology 1999;91:8-15.
4. Wattwil M, Thoren T, Hennerdal S, et al. Epidural analgesia with bupivacaine reduces postoperative paralytic ileus after hysterectomy. Anesth Analg 1989;68:353-8.
5. Ballantyne JC, Carr DB, 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.
6. Beattie WS, Buckley DN, Forrest JB. Epidural morphine reduces the risk of postoperative myocardial ischaemia in patients with cardiac risk factors. Can J Anaesth 1993;40:532-41.
7. Christopherson R, Beattie C, Frank SM, et al. Perioperative morbidity in patients randomized to epidural or general anesthesia for lower extremity vascular surgery: Perioperative Ischemia Randomized Anesthesia Trial Study Group. Anesthesiology 1993;79:422-34.
8. Williams-Russo P, Sharrock NE, Haas SB, et al. Randomized trial of epidural versus general anesthesia: outcomes after primary total knee replacement. Clin Orthop 1996;331:199-208.
9. Brodner G, Mertes N, Van Aken H, et al. Epidural analgesia with local anesthetics after abdominal surgery: earlier motor recovery with 0.2% ropivacaine than 0.175% bupivacaine. Anesth Analg 1999;88:128-33.
10. Carli F, Mayo N, Klubien K, et al. Epidural analgesia enhances functional exercise capacity and health-related quality of life after colonic surgery: results of a randomized trial. Anesthesiology 2002;97:540-9.
11. Mann C, Pouzeratte Y, Boccara G, et al. Comparison of intravenous or epidural patient-controlled analgesia in the elderly after major abdominal surgery. Anesthesiology 2000;92:433-41.
12. Yeager MP, Glass DD, Neff RK, et al. Epidural anesthesia and analgesia in high-risk surgical patients. Anesthesiology 1987;66:729-36.
13. Silvasti M, Pitkanen M. Patient-controlled epidural analgesia versus continuous epidural analgesia after total knee arthroplasty. Acta Anaesthesiol Scand 2001;45:471-6.
14. Gottschalk A, Freitag M, Burmeister MA, et al. Patient-controlled thoracic epidural infusion with ropivacaine 0.375% provides comparable pain relief as bupivacaine 0.125% plus sufentanil after major abdominal gynecologic tumor surgery. Reg Anesth Pain Med 2002;27:367-73.
15. Bromage PR. A comparison of the hydrochloride and carbon dioxide salts of lidocaine and prilocaine in epidural analgesia. Acta Anaesthesiol Scand Suppl 1965;16:55-69.
16. Norris EJ, Beattie C, Perler BA, et al. Double-masked randomized trial comparing alternate combinations of intraoperative anesthesia and postoperative analgesia in abdominal aortic surgery. Anesthesiology 2001;95:1054-67.
17. Rigg JR, Jamrozik K, Myles PS, et al. Epidural anaesthesia and analgesia and outcome of major surgery: a randomised trial. Lancet 2002;359:1276-82.
18. American Society of Anesthesiologists. Practice guidelines for acute pain management in the perioperative setting: a report by the American Society of Anesthesiologists Task Force on Pain Management, Acute Pain Section. Anesthesiology 1995;82:1071-81.
19. Stamer UM, Mpasios N, Stuber F, et al. A survey of acute pain services in Germany and a discussion of international survey data. Reg Anesth Pain Med 2002;27:125-31.
20. Brodner G, Mertes N, Van Aken H, et al. What concentration of sufentanil should be combined with ropivacaine 0.2% wt/vol for postoperative patient-controlled epidural analgesia? Anesth Analg 2000;90:649-57.
21. Hodgson PS, Liu SS. A comparison of ropivacaine with fentanyl to bupivacaine with fentanyl for postoperative patient-controlled epidural analgesia. Anesth Analg 2001;92:1024-8.
22. Rawal N, Berggren L. Organization of acute pain services: a low-cost model. Pain 1994;57:117-23.
23. Brodner G, Mertes N, Buerkle H. Acute pain management: analysis, implications and consequences after prospective experience with 6349 surgical patients. Eur J Anaesthesiol 2000;17:566-75.
24. Rockemann MG, Seeling W, Goertz AW, et al. Effectiveness, side effects and costs of postoperative pain therapy: intravenous and epidural patient-controlled analgesia (PCA). Anasthesiol Intensivmed Notfallmed Schmerzther 1997;32:414-9.
25. Strassels SA, Chen C, Carr DB. Postoperative analgesia: economics, resource use, and patient satisfaction in an urban teaching hospital. Anesth Analg 2002;94:130-7.