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J Cardiothorac Vasc Anesth ; 31(2): 446-452, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-27720493

RESUMO

OBJECTIVE: To report the major complications (epidural hematoma and abscess) of postoperative thoracic epidural analgesia in patients who underwent lung surgery. DESIGN: Prospective, monocentric study. SETTING: A university hospital. PARTICIPANTS: All lung surgical patients who received postoperative thoracic epidural analgesia between November 2007 and November 2015. INTERVENTIONS: Thoracic epidural analgesia for patients who underwent lung surgery. MEASUREMENTS AND MAIN RESULTS: During the study period, data for 2,907 patients were recorded. The following 3 major complications were encountered: 1 case of epidural hematoma (0.34 case/1,000; 95% confidence interval 0.061-1.946), for which surgery was performed, and 2 cases of epidural abscesses (0.68 case/1,000; 95% confidence interval 0.189-2.505), which were treated medically. CONCLUSIONS: The risk range of serious complications was moderate; only the patient who experienced an epidural hematoma also experienced permanent sequelae.


Assuntos
Analgesia Epidural/efeitos adversos , Hematoma Epidural Espinal/diagnóstico por imagem , Pneumopatias/diagnóstico por imagem , Pneumopatias/cirurgia , Vértebras Torácicas/diagnóstico por imagem , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Analgesia Epidural/tendências , Feminino , Hematoma Epidural Espinal/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Manejo da Dor/métodos , Estudos Prospectivos , Estudos Retrospectivos , Adulto Jovem
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