Evaluation of costs and effects of epidural analgesia and patient-controlled intravenous analgesia after major abdominal surgery

British Journal of Anaesthesia

Volumn 96, Issue 1, 2006, Pages 111-117

  Bartha, Elisabeth ^a   Carlsson, P ^b   Kalman, S ^a  

^a LINKÖPING UNIVERSITY HOSPITAL   (Sweden)

^b LINKÖPING UNIVERSITY   (Sweden)

Author keywords

Analgesia, patient controlled; Analgesia, postoperative; Analgesic techniques, extradural; Cost effectiveness

Indexed keywords

LOCAL ANESTHETIC AGENT; MORPHINE; ROPIVACAINE;

ABDOMINAL SURGERY; ADULT; ARTICLE; CALCULATION; CONTROLLED STUDY; COST BENEFIT ANALYSIS; COST EFFECTIVENESS ANALYSIS; EPIDURAL ANESTHESIA; FEMALE; HEALTH CARE POLICY; HOSPITALIZATION; HUMAN; HYPOTENSION; INTERMETHOD COMPARISON; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICAL DECISION MAKING; MORBIDITY; MORTALITY; OUTCOMES RESEARCH; PAIN ASSESSMENT; PATIENT CONTROLLED ANALGESIA; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; PRURITUS; QUALITY CONTROL; RESPIRATION DEPRESSION; SENSITIVITY ANALYSIS; VISUAL ANALOG SCALE;

EID: 31144438315     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aei270     Document Type: Article

References (19)

1. Brodner G, Van Aken H, Hertle L, et al. Multimodal perioperative management - combining thoracic epidural analgesia, forced mobilization, and oral nutrition - reduces hormonal and metabolic stress and improves convalescence after major urologic surgery. Anesth Analg 2001; 92: 1594-600
2. Kehlet H. Acute pain control and accelerated postoperative surgical recovery. Surg Clin North Am 1999; 79: 431-43
3. Kehlet H, Mogensen T. Hospital stay of 2 days after open sigmoidectomy with a multimodal rehabilitation programme. Br J Surg 1999; 86: 227-30
4. McLeod G, Davies H, Munnoch N, et al. Postoperative pain relief using thoracic epidural analgesia: Outstanding success and disappointing failures. Anaesthesia 2001; 56: 75-81
5. Andersen G, Rasmussen H, Rosenstock C, et al. Postoperative pain control by epidural analgesia after transabdominal surgery. Efficacy and problems encountered in daily routine. Acta Anaesthesiol Scand 2000; 44: 296-301
6. Brodner G, Mertes N, Buerkle H, et al. Acute pain management: Analysis, implications and consequences after prospective experience with 6349 surgical patients. Eur J Anaesthesiol 2000; 17: 566-75
7. Wigfull J, Welchew E. Survey of 1057 patients receiving postoperative patient-controlled epidural analgesia. Anaesthesia 2001; 56: 70-5
8. Drummond MF, O'Brien BJ, Stoddart GL, Torrance GW. Methods for the Economical Evaluation of Health Care Programmes, 2nd edn. New York, Oxford: Oxford University Press, 1997; 117, 120, 242, 276, 281-3
9. Karlsson G, Johannesson M. The decision rules of cost-effectiveness analysis. Pharmaeconomics 1996; 9: 113-20
10. Drummond MF, O'Brien BJ, Stoddart GL, Torrance GW. Methods for the Economical Evaluation of Health Care Programmes, 2nd edn. New York, Oxford: Oxford University Press, 1997; 41
11. 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
12. Paulsen EK, Porter MG, Helmer SD, et al. Thoracic epidural versus patient-controlled analgesia in elective bowel resections. Am J Surg 2001; 182: 570-7
13. Cohen BE, Hartman MB, Wade JT, et al. Postoperative pain control after lumbar spine fusion. Patient-controlled analgesia versus continuous epidural analgesia. Spine 1997; 22: 1892-6; discussion 1896-7
14. Ammar AD. Postoperative epidural analgesia following abdominal aortic surgery: Do the benefits justify the costs? Ann Vasc Surg 1998; 12: 359-63
15. de Leon-Casasola OA, Parker BM, Lema MJ, et al. Epidural analgesia versus intravenous patient-controlled analgesia. Differences in the postoperative course of cancer patients. Reg Anesth 1994; 19: 307-15
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. Flisberg P, Rudin A, Linner R, et al. Pain relief and safety after major surgery. A prospective study of epidural and intravenous analgesia in 2696 patients. Acta Anaesthesiol Scand 2003; 47: 457-65
18. Drummond MF, O'Brien BJ, Stoddart GL, Torrance GW. Methods for the Economical Evaluation of Health Care Programmes, 2nd edn. New York, Oxford: Oxford University Press, 1997; 233-44
19. Werawatganon T, Charuluxanun S. Patient controlled intravenous opioid analgesia versus continuous epidural analgesia for pain after intra-abdominal surgery. Cochrane Database Syst Rev 2005; 1: CD004088