Comparison of Peri-operative Risks between General Anesthesia and Thoracic Epidural Blockade Combined with General Anesthesia for on Hepatectomy / 대한마취과학회지
Korean Journal of Anesthesiology
; : 73-79, 2002.
Article
in Ko
| WPRIM
| ID: wpr-215943
Responsible library:
WPRO
ABSTRACT
BACKGROUND:
This study was conducted to investigate risk factors for perioperative periods between general anesthesia (GA group) and thoracic epidural blockade combined with general anesthesia (CEA group) for consecutive hepatic resections.METHODS:
A retrospective chart review was carried out regarding 85 patients who had undergone hepatic resections. We compared the effects of postoperative pain control in the two groups, including pulmonary complications and durations of hospital stay.RESULTS:
There was no significant difference in demographic data between the two groups. The perioperative fluid requirement and transfusions were lower in the CEA group. Supplemental analgesics requirement was significantly lower in the CEA group than the GA group in the 3 days postoperatively. There were no statistical difference between the two groups in nausea, vomiting, urticaria, constipation or urinary retention, but hypotension was more pronounced in the CEA group than the GA group. Postoperative pulmonary and surgical complications were similar between the two groups, but the duration of hospital stay was longer in the GA group than the CEA group.CONCLUSIONS:
We conclude that the thoracic epidural blockade combined with general anesthesia provided lower surgical blood loss and better postoperative analgesia and hospital stay than general anesthesia for hepatic resections.Key words
Full text:
1
Index:
WPRIM
Main subject:
Pain, Postoperative
/
Urticaria
/
Vomiting
/
Retrospective Studies
/
Risk Factors
/
Blood Loss, Surgical
/
Urinary Retention
/
Constipation
/
Perioperative Period
/
Hepatectomy
Type of study:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Humans
Language:
Ko
Journal:
Korean Journal of Anesthesiology
Year:
2002
Type:
Article