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Thoracic epidural anaesthesia for open cholecystectomy.
Muhammad Umar Zahoor1, Rehan Masroor, Tassadaq Khurshid
1Department of Anaesthesia and Intensive Care, Combined Military Hospital (CMH), Skardu. umerzahur@hotmail.com
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|November 15, 2011
Summary
Thoracic epidural anesthesia significantly reduced postoperative pain and vomiting in open cholecystectomy patients compared to general anesthesia. This anesthesia technique offers improved patient recovery outcomes.
Area of Science:
- Anesthesiology
- Surgical Outcomes
Background:
- Open cholecystectomy is a common surgical procedure.
- Effective postoperative pain and nausea management are crucial for patient recovery.
Purpose of the Study:
- To compare postoperative pain relief, vomiting incidence, and hospital stay duration.
- Evaluate general anesthesia (GA) versus thoracic epidural anesthesia (EA) for open cholecystectomy.
Main Methods:
- Quasi-experimental study involving 100 patients (ASA PS I-II).
- Patients were randomized into two groups: GA (n=51) and EA (n=49).
- Outcomes assessed included pain, vomiting, and length of hospital stay; analyzed using Chi-square test.
Main Results:
- EA group showed significantly better postoperative pain relief (p=0.001) and reduced vomiting (p=0.003) compared to GA.
- Only 4.1% of EA patients required additional analgesics versus 29.4% in the GA group.
- Vomiting occurred in 2% of EA patients versus 21.5% in the GA group.
Conclusions:
- Intra-operative epidural anesthesia with postoperative epidural analgesia effectively reduces postoperative pain and vomiting.
- Thoracic epidural anesthesia is a viable alternative for managing open cholecystectomy patients, enhancing recovery.
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