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Thoracic epidural anesthesia for major abdominal surgery: a retrospective study
Acta Anaesthesiologica Sinica
|March 1, 1994
Summary
Thoracic epidural anesthesia is a reliable and effective option for major abdominal surgeries. This technique offers superior post-operative outcomes compared to general anesthesia, with no reported neurologic deficits.
Area of Science:
- Anesthesiology
- Surgical Procedures
Background:
- Thoracic epidural anesthesia (TEA) is an alternative to general anesthesia for major abdominal surgeries.
- Evaluating the efficacy and safety of TEA in a large patient cohort is crucial.
Purpose of the Study:
- To assess the reliability and effectiveness of thoracic epidural anesthesia for major abdominal operations.
- To compare post-operative outcomes of TEA with general anesthesia.
Main Methods:
- A retrospective analysis of 303 patients undergoing major abdominal surgeries with TEA.
- Anesthetic agent: 2% lidocaine (plain or with epinephrine).
- Puncture levels: T8 to T12 thoracic vertebrae.
Main Results:
- TEA proved reliable and effective in 303 patients.
- Perioperative complications were managed successfully.
- Post-operative conditions appeared superior to general anesthesia.
- No neurologic deficits were observed.
Conclusions:
- Thoracic epidural anesthesia is an excellent alternative for major abdominal surgeries.
- TEA offers favorable outcomes and a good safety profile.