Does the evidence support the use of spinal and epidural anesthesia for surgery?

Journal of Clinical Anesthesia

Volumn 17, Issue 5, 2005, Pages 382-391

  Ballantyne, Jane C ^a   Kupelnick, Bruce ^b   McPeek, Bucknam ^a   Lau, Joseph ^b  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

^b TUFTS MEDICAL CENTER   (United States)

Author keywords

Analgesia; Anesthesia; Epidural; Neuraxial; Regional; Spinal

Indexed keywords

OPIATE;

ANALGESIA; CLINICAL PRACTICE; EPIDURAL ANESTHESIA; GENERAL ANESTHESIA; HOSPITALIZATION; HUMAN; LARYNGEAL MASK; MEDICAL LITERATURE; OUTCOMES RESEARCH; PRIORITY JOURNAL; REGIONAL ANESTHESIA; REVIEW; SPINAL ANESTHESIA; SURGERY;

ANALGESIA, EPIDURAL; ANESTHESIA, EPIDURAL; ANESTHESIA, SPINAL; HUMANS; PAIN, POSTOPERATIVE; POST-DURAL PUNCTURE HEADACHE;

EID: 23644435970     PISSN: 09528180     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jclinane.2004.10.005     Document Type: Review

References (111)

1. K.K. Nvgaard Routine spinal anesthesia in provincial hospital: with comparative study of postoperative complications following spinal and general ether anesthesia Acta Chir Scand 78 1936 379 446
2. J.A. Wildsmith No sceptic me, but the long day's task is not yet done: the 2002 Gaston Labat lecture Reg Anesth Pain Med 27 2002 503 508
3. B.M. Block, S.S. Liu, A.J. Rowlingson, A.R. Cowan, J.A. Cowan Jr., and C.L. Wu Efficacy of postoperative epidural analgesia: a meta-analysis JAMA 290 2003 2455 2463
4. J. Modig, A. Hjelmstedt, B. Sahlstedt, and E. Maripuu Comparative influences of epidural and general anaesthesia on deep venous thrombosis and pulmonary embolism after total hip replacement Acta Chir Scand 147 1981 125 130
5. A. Rodgers, N. Walker, and S. Schug Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials BMJ 321 2000 1493
6. P.G. Atanassoff Effects of regional anesthesia on perioperative outcome J Clin Anesth 8 1996 446 455
7. F. Carli, N. Mayo, K. Klubien, T. Schricker, J. Trudel, and P. Belliveau Epidural analgesia enhances functional exercise capacity and health-related quality of life after colonic surgery: results of a randomized trial Anesthesiology 97 2002 540 549
8. X. Capdevila, Y. Barthelet, P. Biboulet, Y. Ryckwaert, J. Rubenovitch, and F. d'Athis Effects of perioperative analgesic technique on the surgical outcome and duration of rehabilitation after major knee surgery Anesthesiology 91 1999 8 15
9. M.R. Checketts, and J.A. Wildsmith Central nerve block and thromboprophylaxis-is there a problem? Br J Anaesth 82 1999 164 167
10. J.C. Ballantyne Does epidural analgesia improve surgical outcome? Br J Anaesth 92 2004 4 6
11. T.T. Horlocker, D.J. Wedel, and H. Benzon Regional anesthesia in the anticoagulated patient: defining the risks (The Second ASRA Consensus Conference on Neuraxial Anesthesia and Anticoagulation) Reg Anesth Pain Med 28 2003 172 197
12. M.P. Yeager, D.D. Glass, R.K. Neff, and T. Brinck-Johnsen Epidural anesthesia and analgesia in high-risk surgical patients Anesthesiology 66 1987 729 736
13. B. McPeek Inference, generalizability, and a major change in anesthetic practice Anesthesiology 66 1987 723 724
14. W.Y. Park, J.S. Thompson, and K.K. Lee Effect of epidural anesthesia and analgesia on perioperative outcome: a randomized, controlled Veterans Affairs cooperative study Ann Surg 234 2001 560 571
15. J.R. Rigg, K. Jamrozik, and P.S. Myles Epidural anaesthesia and analgesia and outcome of major surgery: a randomised trial Lancet 359 2002 1276 1282
16. P.J. Peyton, P.S. Myles, B.S. Silbert, J.A. Rigg, K. Jamrozik, and R. Parsons Perioperative epidural analgesia and outcome after major abdominal surgery in high-risk patients Anesth Analg 96 2003 548 554
17. S.C. Urwin, M.J. Parker, and R. Griffiths General versus regional anaesthesia for hip fracture surgery: a meta-analysis of randomized trials Br J Anaesth 84 2000 450 455
18. A.D. McLaren, M.C. Stockwell, and V.T. Reid Anaesthetic techniques for surgical correction of fractured neck of femur. A comparative study of spinal and general anaesthesia in the elderly Anaesthesia 33 1978 10 14
19. P.J. McKenzie, H.Y. Wishart, and G. Smith Long-term outcome after repair of fractured neck of femur. Comparison of subarachnoid and general anaesthesia Br J Anaesth 56 1984 581 585
20. C.J. Todd, C.J. Freeman, and C. Camilleri-Ferrante Differences in mortality after fracture of hip: the east Anglian audit BMJ 310 1995 904 908
21. B.A. Williams, B.M. DeRiso, and C.M. Figallo Benchmarking the perioperative process: III. Effects of regional anesthesia clinical pathway techniques on process efficiency and recovery profiles in ambulatory orthopedic surgery J Clin Anesth 10 1998 570 578
22. E.J. Norris, C. Beattie, and B.A. Perler Double-masked randomized trial comparing alternate combinations of intraoperative anesthesia and postoperative analgesia in abdominal aortic surgery Anesthesiology 95 2001 1054 1067
23. M.C. Priestley, L. Cope, and R. Halliwell Thoracic epidural anesthesia for cardiac surgery: the effects on tracheal intubation time and length of hospital stay Anesth Analg 94 2002 275 282
24. T.B. Gilbert, W.G. Hawkes, and J.R. Hebel Spinal anesthesia versus general anesthesia for hip fracture repair: a longitudinal observation of 741 elderly patients during 2-year follow-up Am J Orthop 29 2000 25 35
25. G. Kretschmer, E. Wenzl, and M. Schemper Influence of postoperative anticoagulant treatment on patient survival after femoropopliteal vein bypass surgery Lancet 1 1988 797 799
26. A. Planes, N. Vochelle, M. Fagola, J. Feret, and M. Bellaud Prevention of deep vein thrombosis after total hip replacement. The effect of low-molecular-weight heparin with spinal and general anaesthesia J Bone Joint Surg Br 73 1991 418 422
27. M.R. Brinker, J.D. Reuben, J.R. Mull, D.D. Cox, W.J. Daum, and J.R. Parker Comparison of general and epidural anesthesia in patients undergoing primary unilateral THR Orthopedics 20 1997 109 115
28. K.J. Koval, G.B. Aharonoff, A.D. Rosenberg, R.L. Bernstein, and J.D. Zuckerman Functional outcome after hip fracture. Effect of general versus regional anesthesia Clin Orthop Relat Res 348 1998 37 41
29. N.B. Scott, D.J. Turfrey, and D.A. Ray A prospective randomized study of the potential benefits of thoracic epidural anesthesia and analgesia in patients undergoing coronary artery bypass grafting Anesth Analg 93 2001 528 535
30. S. Blomberg, H. Emanuelsson, and H. Kwist Effects of thoracic epidural anesthesia on coronary arteries and arterioles in patients with coronary artery disease Anesthesiology 73 1990 840 847
31. D.J. Turfrey, D.A. Ray, N.P. Sutcliffe, P. Ramayya, G.N. Kenny, and N.B. Scott Thoracic epidural anaesthesia for coronary artery bypass graft surgery. Effects on postoperative complications Anaesthesia 52 1997 1090 1095
32. H. van Aken Regional anesthesia for the cardiac risk patients: pro's and con's Acta Anaesthesiol Scand 42 Suppl 112 1998 156 159
33. J.F. Baron, M. Bertrand, and E. Barre Combined epidural and general anesthesia versus general anesthesia for abdominal aortic surgery Anesthesiology 75 1991 611 618
34. R. Christopherson, C. Beattie, and S.M. Frank Perioperative morbidity in patients randomized to epidural or general anesthesia for lower extremity vascular surgery. Perioperative Ischemia Randomized Anesthesia Trial Study Group Anesthesiology 79 1993 422 434
35. M.J. Davies, B.S. Silbert, P.J. Mooney, R.H. Dysart, and A.C. Meads Combined epidural and general anaesthesia versus general anaesthesia for abdominal aortic surgery: a prospective randomised trial Anaesth Intensive Care 21 1993 790 794
36. R.H. Bode Jr., K.P. Lewis, and S.W. Zarich Cardiac outcome after peripheral vascular surgery. Comparison of general and regional anesthesia Anesthesiology 84 1996 3 13
37. R.L. Garnett, A. MacIntyre, and P. Lindsay Perioperative ischaemia in aortic surgery: combined epidural/general anaesthesia and epidural analgesia vs general anaesthesia and i.v. analgesia Can J Anaesth 43 1996 769 777
38. K.J. Tuman, R.J. McCarthy, R.J. March, G.A. DeLaria, R.V. Patel, and A.D. Ivankovich Effects of epidural anesthesia and analgesia on coagulation and outcome after major vascular surgery Anesth Analg 73 1991 696 704
39. I. Keith Anaesthesia and blood loss in total hip replacement Anaesthesia 32 1977 444 450
40. P. Williams-Russo, N.E. Sharrock, and S.B. Haas Randomized trial of epidural versus general anesthesia: outcomes after primary total knee replacement Clin Orthop Relat Res 331 1996 199 208
41. A. Gottschalk, D.S. Smith, and D.R. Jobes Preemptive epidural analgesia and recovery from radical prostatectomy: a randomized controlled trial JAMA 279 1998 1076 1082
42. G.H. Handley, B.S. Silbert, P.H. Mooney, S.A. Schweitzer, and N.B. Allen Combined general and epidural anesthesia versus general anesthesia for major abdominal surgery: postanesthesia recovery characteristics Reg Anesth 22 1997 435 441
43. J. Riis, B. Lomholt, and O. Haxholdt Immediate and long-term mental recovery from general versus epidural anesthesia in elderly patients Acta Anaesthesiol Scand 27 1983 44 49
44. D. Bigler, B. Adelhoj, O.U. Petring, N.O. Pederson, P. Busch, and P. Kalhke Mental function and morbidity after acute hip surgery during spinal and general anaesthesia Anaesthesia 40 1985 672 676
45. D. Berggren, Y. Gustafson, and B. Eriksson Postoperative confusion after anesthesia in elderly patients with femoral neck fractures Anesth Analg 66 1987 497 504
46. P. Williams-Russo, N.E. Sharrock, S. Mattis, T.P. Szatrowski, and M.E. Charlson Cognitive effects after epidural vs general anesthesia in older adults. A randomized trial JAMA 274 1995 44 50
47. G.M. Hall, and W. Ali The stress response and its modification by regional anaesthesia Anaesthesia 53 Suppl 2 1998 10 12
48. S. Liu, R.L. Carpenter, and J.M. Neal Epidural anesthesia and analgesia. Their role in postoperative outcome Anesthesiology 82 1995 1474 1506
49. J. Tomkinson, A. Turnbull, and G. Robson Report on confidential enquiries into maternal deaths in England and Wales, 1976-1978 Rep Health Soc Subj (Lond) 26 1982 1 180
50. J.L. Hawkins, L.M. Koonin, S.K. Palmer, and C.P. Gibbs Anesthesia-related deaths during obstetric delivery in the United States, 1979-1990 Anesthesiology 86 1997 277 284
51. S. Bach, M.F. Noreng, and N.U. Tjellden Phantom limb pain in amputees during the first 12 months following limb amputation, after preoperative lumbar epidural blockade Pain 33 1988 297 301
52. H. Obata, S. Saito, N. Fujita, Y. Fuse, K. Ishizaki, and F. Goto Epidural block with mepivacaine before surgery reduces long-term post-thoracic pain Can J Anaesth 46 1999 1127 1132
53. E.A. Ochroch, A. Gottschalk, and J. Augostides Long-term pain and activity during recovery from major thoracotomy using thoracic epidural analgesia Anesthesiology 97 2002 1234 1244
54. F.M. Perkins, and H. Kehlet Chronic pain as an outcome of surgery. A review of predictive factors Anesthesiology 93 2000 1123 1133
55. P.T. Choi, M. Bhandari, J. Scott, and J. Douketis Epidural analgesia for pain relief following hip or knee replacement Cochrane Database Syst Rev 3 2003 CD003071
56. J.C. Ballantyne, J.F. Ulmer, and D. Mahrenholz Acute pain management. ACHPR guideline technical report 1995 US Department of Health and Human Services, Agency for Health Care Policy and Research
57. H. Jorgensen, J. Wetterslev, S. Moiniche, and J.B. Dahl Epidural local anaesthetics versus opioid-based analgesic regimens on postoperative gastrointestinal paralysis, PONV and pain after abdominal surgery Cochrane Database Syst Rev 4 2002 CD001893
58. J.F. Boylan, J. Katz, and B.P. Kavanagh Epidural bupivacaine-morphine analgesia versus patient-controlled analgesia following abdominal aortic surgery: analgesic, respiratory, and myocardial effects Anesthesiology 89 1998 585 593
59. P. Flisberg, A. Rudin, R. Linner, and C.J. Lundberg Pain relief and safety after major surgery. A prospective study of epidural and intravenous analgesia in 2696 patients Acta Anaesthesiol Scand 47 2003 457 465
60. R.A. Stevens, M. Mikat-Stevens, and R. Flanigan Does the choice of anesthetic technique affect the recovery of bowel function after radical prostatectomy? Urology 52 1998 213 218
61. O.A. de Leon-Casasola, D. Karabella, and M.J. Lema Bowel function recovery after radical hysterectomies: thoracic epidural bupivacaine-morphine versus intravenous patient-controlled analgesia with morphine: a pilot study J Clin Anesth 8 1996 87 92
62. R.A. Steinbrook Epidural anesthesia and gastrointestinal motility Anesth Analg 86 1998 837 844
63. W.S. Beattie, N.H. Badner, and P. Choi Epidural analgesia reduces postoperative myocardial infarction: a meta-analysis Anesth Analg 93 2001 853 858
64. J.C. Ballantyne, D.B. Carr, and S. DeFerranti The comparative effects of postoperative analgesic therapies on pulmonary outcome: cumulative meta-analyses of randomized, controlled trials Anesth Analg 86 1998 598 612
65. F.J. Singleyn, M. Deyaert, D. Joris, E. Pendeville, and J.M. Gouverneur Effects of intravenous patient-controlled analgesia with morphine, continuous epidural analgesia, and continuous three-in-one block on postoperative pain and knee rehabilitation after unilateral total knee arthroplasty Anesth Analg 87 1998 88 92
66. S. Moiniche, N.C. Hjortso, and B.L. Hansen The effect of balanced analgesia on early convalescence after major orthopaedic surgery Acta Anaesthesiol Scand 38 1994 328 335
67. Sentinel events: approaches to error reduction and prevention Jt Comm J Qual Improv 24 1998 175 186
68. K.G. Callum, A.J.G. Gray, and R.W. Hoile The 2000 report of the National Confidential Enquiry into Perioperative Deaths: Data collection period 1 April 1998 to 31 March 1999 2000 National Confidential Enquiry into Perioperative Deaths London [November]
69. J.D. Birkmeyer, A.E. Siewers, and E.V. Finlayson Hospital volume and surgical mortality in the United States N Eng J Med 346 2002 1128 1137
70. H. Kehlet A multimodal approach to control postoperative pathophysiology and rehabilitation Br J Anaesth 78 1997 606 617
71. P.S. Myles, J.O. Hunt, and C.E. Nightingale Development and psychometric testing of a quality of recovery score after general anesthesia and surgery in adults Anesth Analg 88 1999 83 90
72. C.L. Wu, M. Naqibuddin, A.J. Rowlingson, S.A. Lietman, R.M. Jermyn, and L.A. Fleisher The effect of pain on health-related quality of life in the immediate postoperative period Anesth Analg 97 2003 1078 1085
73. C.L. Wu, and S.N. Raja Optimizing postoperative analgesia: the use of global outcome measures Anesthesiology 97 2002 533 534
74. R.D. Dripps, and L.D. Vandam Hazards of lumbar puncture JAMA 147 1951 1118 1121
75. R.D. Dripps, and L.D. Vandam Long-term follow-up of patients who received 10,098 spinal anesthetics: failure to discover major neurological sequelae JAMA 156 1954 1486 1491
76. J.C. Ballantyne, J. McKenna, and E. Ryder Epidural analgesia-experience of 5628 patients in a large teaching hospital derived through audit Int J Acute Pain 4 2003 89 97
77. D.K. Turnbull, and D.B. Shepherd Post-dural puncture headache: pathogenesis, prevention and treatment Br J Anaesth 91 2003 718 729
78. H. Wulf Epidural anaesthesia and spinal haematoma Can J Anaesth 43 1996 1260 1271
79. T.T. Horlocker, and J.A. Heit Low molecular weight heparin: biochemistry, pharmacology, perioperative prophylaxis regimens, and guidelines for regional anesthetic management Anesth Analg 85 1997 874 885
80. T.T. Horlocker, and D.J. Wedel Neurologic complications of spinal and epidural anesthesia Reg Anesth Pain Med 25 2000 83 98
81. D.L. Wyncoll Epidurals in septic patients Br J Anaesth 92 2004 908
82. G.R. Bernard, J.L. Vincent, and P.F. Laterre Efficacy and safety of recombinant human activated protein C for severe sepsis N Engl J Med 344 2002 699 709
83. D. Bergqvist, C.L. Wu, and J.M. Neal Anticoagulation and neuraxial regional anesthesia: perspectives Reg Anesth Pain Med 28 2003 163 166
84. J.M. Hernandez, F.P. Coyle, C.D. Wright, and J.C. Ballantyne Epidural abscess after epidural anesthesia and continuous epidural analgesia in a patient with gastric lymphoma J Clin Anesth 15 2003 48 51
85. A.S. Baker, R.G. Ojemann, M.N. Swartz, and E.P. Richardson Jr. Spinal epidural abscess N Engl J Med 293 1975 463 468
86. H.S. Chadwick, and J.J. Bonica Complications of regional anaesthesia J.J. Bonica J.S. McDonald Principles and practice of obstetric analgesia and anaesthesia 2nd ed. 1995 Williams and Wilkins Baltimore 538 572
87. L.P. Wang, J. Hauerberg, and J.F. Schmidt Incidence of spinal epidural abscess after epidural analgesia: a national 1-year survey Anesthesiology 91 1999 1928 1936
88. E. Reihsaus, H. Waldbaur, and W. Seeling Spinal epidural abscess: a meta-analysis of 915 patients Neurosurg Rev 23 2000 175 204
89. L.O. Jonsson, P. Einarsson, and G.L. Olsson Subdural haematoma and spinal anaesthesia. A case report and an incidence study Anaesthesia 38 1983 144 146
90. D. Zaric, C. Christiansen, N.L. Pace, and Y. Punjasawadwong Transient neurologic symptoms (TNS) following spinal anaesthesia with lidocaine versus other local anaesthetics Cochrane Database Syst Rev 2 2003 CD003006
91. R.A. Caplan, R.J. Ward, K. Posner, and F.W. Cheney Unexpected cardiac arrest during spinal anesthesia: a closed claims analysis of predisposing factors Anesthesiology 68 1988 5 11
92. P. Myles Why we need large randomized studies in anaesthesia Br J Anaesth 83 1999 833 834
93. S. Yusuf, R. Collins, and R. Peto Why do we need some large, simple randomized trials? Stat Med 3 1984 409 422
94. J. Concato, N. Shah, and R.I. Horwitz Randomized, controlled trials, observational studies, and the hierarchy of research designs N Eng J Med 342 2000 1887 1892
95. J.C. Cappelleri, J.P. Ioannidis, and C.H. Schmid Large trials versus meta-analyses of smaller trials: how do their results compare? JAMA 276 1996 1332 1338
96. J. LeLorier, G. Gregoire, A. Benhaddad, J. Lapierre, and F. Derderian Discrepancies between meta-analyses and subsequent large randomized, controlled trials N Engl J Med 337 1997 536 542
97. J. Pogue, and S. Yusuf Overcoming the limitations of current meta-analysis of randomised controlled trials Lancet 351 1998 47 52
98. F.M. Davis, D.F. Woolner, and C. Frampton Prospective, multi-centre trial of mortality following general or spinal anaesthesia for hip fracture surgery in the elderly Br J Anaesth 59 1987 1080 1088
99. J.P. Racle, A. Benkhadra, J.Y. Poy, B. Gleizal, and A. Gaudray Comparative study of general and spinal anesthesia in elderly women in hip surgery Ann Fr Anesth Reanim 5 1986 24 30
100. N. Valentin, B. Lomholt, J.S. Jensen, N. Hejgaard, and S. Kreiner Spinal or general anaesthesia for surgery of the fractured hip? A prospective study of mortality in 578 patients Br J Anaesth 58 1986 284 291
101. R.A. Mann, and W.I. Bisset Anaesthesia for lower limb amputation. A comparison of spinal analgesia and general anaesthesia in the elderly Anaesthesia 38 1983 1185 1191
102. F.M. Davis, and V.G. Laurenson Spinal anaesthesia or general anaesthesia for emergency hip surgery in elderly patients Anaesth Intensive Care 9 1981 352 358
103. I.W. White, and W.A. Chappell Anaesthesia for surgical correction of fractured femoral neck. A comparison of three techniques Anaesthesia 35 1980 1107 1110
104. E. Couderc, F. Mauge, P. Duvaldestin, and J.M. Desmonts Comparative results of general and peridural anesthesia for hip surgery in the very old patient Anesth Analg (Paris) 34 1977 987 997
105. T.J. McCulloch, and J.A. Loadsman Reduction of postoperative mortality and morbidity: little information was given on inclusion criteria BMJ 322 2001 1182
106. H. Higham, P. Mishra, and P. Foex Reduction of postoperative mortality and morbidity: research into modern anaesthesia techniques and perioperative medicine is needed BMJ 322 2001 1182 1183
107. R. DerSimonian, and N. Laird Meta-analysis in clinical trials Control Clin Trials 7 1986 177 188
108. N. Mantel, and W. Haenszel Statistical aspects of the analysis of data from retrospective studies of disease J Natl Cancer Inst 22 1959 719 748
109. K. Benson, and A.J. Hartz A comparison of observational studies and randomized, controlled trials N Engl J Med 342 2000 1878 1886
110. J.P. Ioannidis, A.B. Haidich, and M. Pappa Comparison of evidence of treatment effects in randomized and nonrandomized studies JAMA 286 2001 821 830
111. S. Ganapathy, C.J. McCartney, W.S. Beattie, and V.W. Chan Best evidence in anesthetic practice: prevention: epidural anesthesia and analgesia does not reduce 30-day all-cause mortality and major morbidity after abdominal surgery Can J Anaesth 50 2003 143 146