Perioperative outcomes comparing patient controlled epidural versus intravenous analgesia in gynecologic oncology surgery

Gynecologic Oncology

Volumn 115, Issue 3, 2009, Pages 357-361

  Chen, Lee may ^a   Weinberg, Vivian K ^b   Chen, Christine ^a   Powell, C Bethan ^a   Chen, Lee lynn ^a   Chan, John K ^a   Burkhardt III, Daniel H ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Epidural analgesia; Intravenous analgesia; Major open gynecologic surgery; Pain control; PCA; PCEA; Postoperative

Indexed keywords

ADULT; AGED; ARTICLE; CEREBROVASCULAR ACCIDENT; COMORBIDITY; CONTROLLED STUDY; ENDOMETRIUM CANCER; EPIDURAL ANESTHESIA; FEMALE; FEVER; GYNECOLOGIC SURGERY; HUMAN; INTERMETHOD COMPARISON; LAPAROTOMY; MAJOR CLINICAL STUDY; PATIENT CONTROLLED ANALGESIA; PNEUMONIA; POSTOPERATIVE COMPLICATION; POSTOPERATIVE PAIN; PRIORITY JOURNAL; PROGNOSIS; URINARY TRACT INFECTION; VISUAL ANALOG SCALE;

ADULT; AGED; AGED, 80 AND OVER; ANALGESIA, EPIDURAL; ANALGESIA, PATIENT-CONTROLLED; ANALGESICS; FEMALE; GENITAL NEOPLASMS, FEMALE; GYNECOLOGIC SURGICAL PROCEDURES; HUMANS; INFUSIONS, INTRAVENOUS; MIDDLE AGED; PAIN, POSTOPERATIVE; PERIOPERATIVE CARE; PROSPECTIVE STUDIES; TREATMENT OUTCOME; YOUNG ADULT;

EID: 70350566606     PISSN: 00908258     EISSN: 10956859     Source Type: Journal    
DOI: 10.1016/j.ygyno.2009.08.015     Document Type: Article

References (18)

1. Wu C.L., Cohen S.R., Richman J.M., et al. Efficacy of postoperative patient-controlled and continuous infusion epidural analgesia versus intravenous patient-controlled analgesia with opioids: a meta-analysis. Anesthesiology 103 (2005) 1079-1088
2. Block B.M., Liu S.S., Rowlingson A.J., Cowan A.R., Cowan Jr. J.A., and Wu C.L. Efficacy of postoperative epidural analgesia: a meta-analysis. Jama 290 (2003) 2455-2463
3. Scott D.A., Blake D., Buckland M., et al. A comparison of epidural ropivacaine infusion alone and in combination with 1, 2, and 4 microg/mL fentanyl for seventy-two hours of postoperative analgesia after major abdominal surgery. Anesth. Analg. 88 (1999) 857-864
4. Rodgers A., Walker N., Schug S., et al. Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials. Bmj 321 (2000) 1493
5. Werawatganon T., and Charuluxanun S. Patient controlled intravenous opioid analgesia versus continuous epidural analgesia for pain after intra-abdominal surgery. Cochrane Database Syst. Rev. (2005) CD004088
6. de Leon-Casasola O.A., Karabella D., and Lema M.J. 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
7. Ferguson S.E., Malhota T., Venkatraman E.S., Levine D.A., Sonoda Y., Chi D., Barakat R.R., and Abu-Rustum N.R. A prosepective randomized trial comparing patient-controlled epidural analgesia to patient-controlled intravenous analgesia on postoperative pain control and recovery after major open gynecologic cancer surgery. Gynecol. Oncol. 114 (2009) 111-116
8. Barnett M. Alternative opioids to morphine in palliative care: a review of current practice and evidence. Postgrad. Med. J. 77 (2001) 371-378
9. Rapp S.E., Ready L.B., and Greer B.E. Postoperative pain management in gynecology oncology patients utilizing epidural opiate analgesia and patient-controlled analgesia. Gynecol. Oncol. 35 (1989) 341-344
10. Planner R.S., Cowie R.W., and Babarczy A.S. Continuous epidural morphine analgesia after radical operations upon the pelvis. Surg. Gynecol. Obstet. 166 (1988) 229-232
11. Blythe J.G., Hodel K.A., Wahl T.M., Miller R.N., Mayfield W.R., and Schneider S.L. Continuous postoperative epidural analgesia for gynecologic oncology patients. Gynecol. Oncol. 37 (1990) 307-310
12. Duncan L.A., Fried M.J., Lee A., and Wildsmith J.A. Comparison of continuous and intermittent administration of extradural bupivacaine for analgesia after lower abdominal surgery. Br. J. Anaesth. 80 (1998) 7-10
13. Jorgensen H., Fomsgaard J.S., Dirks J., Wetterslev J., Andreasson B., and Dahl J.B. Effect of peri- and postoperative epidural anaesthesia on pain and gastrointestinal function after abdominal hysterectomy. Br. J. Anaesth. 87 (2001) 577-583
14. Jorgensen H., Fomsgaard J.S., Dirks J., Wetterslev J., Andreasson B., and Dahl J.B. Effect of epidural bupivacaine vs combined epidural bupivacaine and morphine on gastrointestinal function and pain after major gynaecological surgery. Br. J. Anaesth. 87 (2001) 727-732
15. Paulsen E.K., Porter M.G., Helmer S.D., Linhardt P.W., and Kliewer M.L. Thoracic epidural versus patient-controlled analgesia in elective bowel resections. Am. J. Surg. 182 (2001) 570-577
16. Carli F., Mayo N., Klubien K., Schricker T., Trudel J., and Belliveau P. 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
17. Mann C., Pouzeratte Y., Boccara G., et al. Comparison of intravenous or epidural patient-controlled analgesia in the elderly after major abdominal surgery. Anesthesiology 92 (2000) 433-441
18. Pouzeratte Y., Delay J.M., Brunat G., et al. Patient-controlled epidural analgesia after abdominal surgery: ropivacaine versus bupivacaine. Anesth. Analg. 93 (2001) 1587-1592 table of contents