Table of Contents
Advances in Anesthesiology
Volume 2014 (2014), Article ID 948164, 5 pages
http://dx.doi.org/10.1155/2014/948164
Review Article

Epidural Anesthesia-Analgesia and Patient Outcomes: A Perspective

The Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins School of Medicine, Johns Hopkins University, Zayed 8-120, 1800 Orleans Street, Baltimore, MD 21287, USA

Received 24 February 2014; Revised 5 May 2014; Accepted 7 May 2014; Published 9 June 2014

Academic Editor: Manuel Wenk

Copyright © 2014 Christopher L. Wu and Jamie D. Murphy. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. 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,” The Journal of the American Medical Association, vol. 290, no. 18, pp. 2455–2463, 2003. View at Publisher · View at Google Scholar · View at Scopus
  2. C. L. Wu, S. R. Cohen, J. M. Richman et al., “Efficacy of postoperative patient-controlled and continuous infusion epidural analgesia versus intravenous patient-controlled analgesia with opioids: a meta-analysis,” Anesthesiology, vol. 103, no. 5, pp. 1079–1110, 2005. View at Publisher · View at Google Scholar · View at Scopus
  3. C. L. Wu and S. N. Raja, “Treatment of acute postoperative pain,” The Lancet, vol. 377, no. 9784, pp. 2215–2225, 2011. View at Publisher · View at Google Scholar · View at Scopus
  4. S. S. Liu and C. L. Wu, “Effect of postoperative analgesia on major postoperative complications: a systematic update of the evidence,” Anesthesia and Analgesia, vol. 104, no. 3, pp. 689–702, 2007. View at Publisher · View at Google Scholar · View at Scopus
  5. S. S. Liu and C. L. Wu, “The effect of analgesic technique on postoperative patient-reported outcomes including analgesia: a systematic review,” Anesthesia and Analgesia, vol. 105, no. 3, pp. 789–808, 2007. View at Publisher · View at Google Scholar · View at Scopus
  6. C. L. Wu, R. W. Hurley, G. F. Anderson, R. Herbert, A. J. Rowlingson, and L. A. Fleisher, “Effect of postoperative epidural analgesia on morbidity and mortality following surgery in medicare patients,” Regional Anesthesia and Pain Medicine, vol. 29, no. 6, pp. 525–533, 2004. View at Publisher · View at Google Scholar · View at Scopus
  7. C. L. Wu, A. Sapirstein, R. Herbert et al., “Effect of postoperative epidural analgesia on morbidity and mortality after lung resection in Medicare patients,” Journal of Clinical Anesthesia, vol. 18, no. 7, pp. 515–520, 2006. View at Publisher · View at Google Scholar · View at Scopus
  8. C. L. Wu, A. J. Rowlingson, R. Herbert, J. M. Richman, R. A. F. Andrews, and L. A. Fleisher, “Correlation of postoperative epidural analgesia on morbidity and mortality after colectomy in Medicare patients,” Journal of Clinical Anesthesia, vol. 18, no. 8, pp. 594–599, 2006. View at Publisher · View at Google Scholar · View at Scopus
  9. C. L. Wu, G. F. Anderson, R. Herbert, S. A. Lietman, and L. A. Fleisher, “Effect of postoperative epidural analgesia on morbidity and mortality after total hip replacement surgery in medicare patients,” Regional Anesthesia and Pain Medicine, vol. 28, no. 4, pp. 271–278, 2003. View at Publisher · View at Google Scholar · View at Scopus
  10. C. L. Wu, J. S. Demeester, R. Herbert, D. N. Maine, A. J. Rowlingson, and L. A. Fleisher, “Correlation of postoperative epidural analgesia with morbidity and mortality following total knee replacement in Medicare patients,” American Journal of Orthopedics, vol. 37, no. 10, pp. 524–527, 2008. View at Google Scholar · View at Scopus
  11. D. N. Wijeysundera, W. S. Beattie, P. C. Austin, J. E. Hux, and A. Laupacis, “Epidural anaesthesia and survival after intermediate-to-high risk non-cardiac surgery: a population-based cohort study,” The Lancet, vol. 372, no. 9638, pp. 562–569, 2008. View at Publisher · View at Google Scholar · View at Scopus
  12. A. Rodgers, N. Walker, S. Schug et al., “Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials,” British Medical Journal, vol. 321, no. 7275, pp. 1493–1497, 2000. View at Google Scholar · View at Scopus
  13. J. R. A. Rigg, K. Jamrozik, P. S. Myles et al., “Epidural anaesthesia and analgesia and outcome of major surgery: a randomised trial,” The Lancet, vol. 359, no. 9314, pp. 1276–1282, 2002. View at Publisher · View at Google Scholar · View at Scopus
  14. W. Young Park, J. S. Thompson, and K. K. Lee, “Effect of epidural anesthesia and analgesia on perioperative outcome: a randomized, controlled veterans affairs cooperative study,” Annals of Surgery, vol. 234, no. 4, pp. 560–571, 2001. View at Publisher · View at Google Scholar · View at Scopus
  15. D. M. Popping, N. Elia, H. K. Van Aken et al., “Impact of epidural analgesia on mortality and morbidity after surgery: systematic review and meta-analysis of randomized controlled trials,” Annals of Surgery, vol. 259, no. 6, pp. 1056–1067, 2014. View at Google Scholar
  16. J. C. Ballantyne, D. B. Carr, S. DeFerranti et al., “The comparative effects of postoperative analgesic therapies on pulmonary outcome: cumulative meta-analyses of randomized, controlled trials,” Anesthesia and Analgesia, vol. 86, no. 3, pp. 598–612, 1998. View at Publisher · View at Google Scholar · View at Scopus
  17. D. M. Pöpping, N. Elia, E. Marret, C. Remy, and M. R. Tramèr, “Protective effects of epidural analgesia on pulmonary complications after abdominal and thoracic surgery: a meta-analysis,” Archives of Surgery, vol. 143, no. 10, pp. 990–999, 2008. View at Publisher · View at Google Scholar · View at Scopus
  18. S. S. Liu, B. M. Block, and C. L. Wu, “Effects of perioperative central neuraxial analgesia on outcome after coronary artery bypass surgery: a meta-analysis,” Anesthesiology, vol. 101, no. 1, pp. 153–161, 2004. View at Publisher · View at Google Scholar · View at Scopus
  19. V. Svircevic, D. Van Dijk, A. P. Nierich et al., “Meta-analysis of thoracic epidural anesthesia versus general anesthesia for cardiac surgery,” Anesthesiology, vol. 114, no. 2, pp. 271–282, 2011. View at Publisher · View at Google Scholar · View at Scopus
  20. W. S. Beattie, N. H. Badner, and P. Choi, “Epidural analgesia reduces postoperative myocardial infarction: a meta-analysis,” Anesthesia and Analgesia, vol. 93, no. 4, pp. 853–858, 2001. View at Google Scholar · View at Scopus
  21. E. Marret, C. Remy, F. Bonnet, and Postoperative Pain Forum Group, “Meta-analysis of epidural analgesia versus parenteral opioid analgesia after colorectal surgery,” British Journal of Surgery, vol. 94, no. 6, pp. 665–673, 2007. View at Google Scholar
  22. H. Jørgensen, J. Wetterslev, S. Møiniche, and J. B. Dahl, “Epidural local anaesthetics versus opioid-based analgesic regimens on postoperative gastrointestinal paralysis, PONV and pain after abdominal surgery,” Cochrane Database of Systematic Reviews, no. 4, Article ID CD001893, 2000. View at Google Scholar · View at Scopus
  23. R. B. Steinberg, S. S. Liu, C. L. Wu et al., “Comparison of ropivacaine-fentanyl patient-controlled epidural analgesia with morphine intravenous patient-controlled analgesia for perioperative analgesia and recovery after open colon surgery,” Journal of Clinical Anesthesia, vol. 14, no. 8, pp. 571–577, 2002. View at Publisher · View at Google Scholar · View at Scopus
  24. C. L. Wu, M. Naqibuddin, and L. A. Fleisher, “Measurement of patient satisfaction as an outcome of regional anesthesia and analgesia: a systematic review,” Regional Anesthesia and Pain Medicine, vol. 26, no. 3, pp. 196–208, 2001. View at Publisher · View at Google Scholar · View at Scopus
  25. C. L. Wu, W. Hsu, J. M. Richman, and S. N. Raja, “Postoperative cognitive function as an outcome of regional anesthesia and analgesia,” Regional Anesthesia and Pain Medicine, vol. 29, no. 3, pp. 257–268, 2004. View at Publisher · View at Google Scholar · View at Scopus
  26. C. L. Wu, A. J. Rowlingson, A. W. Partin et al., “Correlation of postoperative pain to quality of recovery in the immediate postoperative period,” Regional Anesthesia and Pain Medicine, vol. 30, no. 6, pp. 516–522, 2005. View at Publisher · View at Google Scholar · View at Scopus
  27. P. S. Myles, J. O. Hunt, C. E. Nightingale et al., “Development and psychometric testing of a quality of recovery score after general anesthesia and surgery in adults,” Anesthesia and Analgesia, vol. 88, no. 1, pp. 83–90, 1999. View at Publisher · View at Google Scholar · View at Scopus
  28. R. W. Hurley, S. M. Cohen, K. A. Williams, A. J. Rowlingson, and C. L. Wu, “The efficacy of perioperative oral gabapentin on postoperative recovery,” Regional Anesthesia and Pain Medicine, vol. 31, pp. 237–247, 2006. View at Google Scholar
  29. J. D. Murphy, J. Paskaradevan, L. L. Eisler et al., “Analgesic efficacy of continuous intravenous magnesium infusion as an adjuvant to morphine for postoperative analgesia: a systematic review and meta-analysis,” Middle East Journal of Anesthesiology, vol. 22, pp. 11–20, 2013. View at Google Scholar
  30. J. D. Murphy, D. Yan, M. N. Hanna et al., “Comparison of the postoperative analgesic efficacy of intravenous patient-controlled analgesia with tramadol to intravenous patient-controlled analgesia with opioids,” Journal of Opioid Management, vol. 6, no. 2, pp. 141–147, 2010. View at Publisher · View at Google Scholar · View at Scopus
  31. A. Gupta, C. L. Wu, N. El-Kassabany, C. Krug, S. D. Parker, and L. A. Fleisher, “A meta-analysis of the effect of intraoperative anti-emetic therapy on postdischarge nausea and vomiting after outpatient surgery,” Anesthesiology, vol. 99, pp. 488–495, 2003. View at Google Scholar
  32. J. D. Murphy, H. J. Gelfand, M. C. Bicket et al., “Analgesic efficacy of intravenous naloxone for the treatment of postoperative pruritus: a meta-analysis,” Journal of Opioid Management, vol. 7, no. 4, pp. 321–327, 2011. View at Publisher · View at Google Scholar · View at Scopus
  33. W. R. Spanjersberg, J. Reurings, F. Keus, and C. J. van Laarhoven, “Fast track surgery versus conventional recovery strategies for colorectal surgery,” Cochrane Database of Systematic Reviews, vol. 2, Article ID CD007635, 2011. View at Google Scholar · View at Scopus
  34. R. H. Bode Jr., K. P. Lewis, S. W. Zarich et al., “Cardiac outcome after peripheral vascular surgery. Comparison of general and regional anesthesia,” Anesthesiology, vol. 84, no. 1, pp. 3–13, 1996. View at Google Scholar
  35. S. S. Liu, “Bank robbers and outcomes research,” Regional Anesthesia and Pain Medicine, vol. 28, no. 4, pp. 262–264, 2003. View at Publisher · View at Google Scholar · View at Scopus
  36. T. L. Stierer, C. Wright, A. George, R. E. Thompson, C. L. Wu, and N. Collop, “Risk assessment of obstructive sleep apnea in a population of patients undergoing ambulatory surgery,” Journal of Clinical Sleep Medicine, vol. 6, no. 5, pp. 467–472, 2010. View at Google Scholar · View at Scopus
  37. E. P. Lynch, M. A. Lazor, J. E. Gellis, J. Orav, L. Goldman, and E. R. Marcantonio, “The of impact postoperative pain on the development of postoperative delirium,” Anesthesia and Analgesia, vol. 86, no. 4, pp. 781–785, 1998. View at Publisher · View at Google Scholar · View at Scopus
  38. H. K. Fong, L. P. Sands, and J. M. Leung, “The role of postoperative analgesia in delirium and cognitive decline in elderly patients: a systematic review,” Anesthesia and Analgesia, vol. 102, no. 4, pp. 1255–1266, 2006. View at Publisher · View at Google Scholar · View at Scopus
  39. L. Lv, Y. F. Shao, and Y. B. Zhou, “The enhanced recovery after surgery (ERAS) pathway for patients undergoing colorectal surgery: an update of meta-analysis of randomized controlled trials,” International Journal of Colorectal Disease, vol. 27, no. 12, pp. 1549–1554, 2012. View at Google Scholar
  40. B. Biki, E. Mascha, D. C. Moriarty, J. M. Fitzpatrick, D. I. Sessler, and D. J. Buggy, “Anesthetic technique for radical prostatectomy surgery affects cancer recurrence: a retrospective analysis,” Anesthesiology, vol. 109, no. 2, pp. 180–187, 2008. View at Publisher · View at Google Scholar · View at Scopus
  41. C.-C. Chang, H.-C. Lin, H.-W. Lin, and H.-C. Lin, “Anesthetic management and surgical site infections in total hip or knee replacement: a population-based study,” Anesthesiology, vol. 113, no. 2, pp. 279–284, 2010. View at Publisher · View at Google Scholar · View at Scopus
  42. D. Bergvqist, C. L. Wu, and J. M. Neal, “Regional anesthesia and anticoagulation,” Regional Anesthesia and Pain Medicine, vol. 28, pp. 163–166, 2003. View at Google Scholar
  43. D. Bergvqist, C. L. Wu, and J. M. Neal, “Anticoagulation and neuraxial regional anesthesia: perspective,” Regional Anesthesia and Pain Medicine, no. 2, supplement, pp. 13–16, 2004. View at Google Scholar