open access

Vol 8, No 1 (2002)
Original papers
Published online: 2002-02-07
Get Citation

Effect of continuous thoracic epidural bupivacaine-fentanyl analgesia on postoperative outcome and mortality after abdominal aortic surgery

Magdalena Fijałkowska, Jadwiga Biernacka, Stefan Mocarski, Krzysztof Przesmycki
Acta Angiologica 2002;8(1):15-22.

open access

Vol 8, No 1 (2002)
Original papers
Published online: 2002-02-07

Abstract

Introduction. Continuous thoracic epidural analgesia (C-TEA) allows earlier postoperative mobilisation of patients and decreases the rate of complications. The above effects should be more prominent in older patients, with a higher risk according to American Society of Anesthesiology.
Postoperative outcome and mortality rate were assessed in all patients undergoing abdominal aortic reconstruction surgery during an 18-month period, treated with the postoperative C-TEA (prospective group A; n = 36). Results were compared with patients undergoing abdominal aortic surgery during the previous 18-month period, with the conventional postoperative analgesia with systemic analgesics (retrospective group B; n = 38).
Results. Both groups did not significantly differ considering the type of implanted prosthesis (simple/Y; A: 22/14 vs. B: 15/23; p = 0.103), the type of operation (emergency/elective; A: 4/32 vs. B: 7/31; p = 0.554) and gender (female; A: 3/36 vs. B: 5/38; p = 0.769). Between groups the only significant difference was observed in the mean patients’ age (A: 65.4 ± 5.6 vs. B: 68.6 ± 5.7; p = 0.0324, Student’s t-test), and, which was more pronounced, in the mortality rate (A: 3/36 vs. . B: 12/38; p = 0.0280, c2 test).
Conclusions. Concluding, 1) the mortality rate was four times lower in patients treated with C-TEA than in patients with conventional postoperative analgesia, 2) we cannot exclude additional effects caused by the type of prosthesis or general medical patients’ condition on the mortality rate.

Abstract

Introduction. Continuous thoracic epidural analgesia (C-TEA) allows earlier postoperative mobilisation of patients and decreases the rate of complications. The above effects should be more prominent in older patients, with a higher risk according to American Society of Anesthesiology.
Postoperative outcome and mortality rate were assessed in all patients undergoing abdominal aortic reconstruction surgery during an 18-month period, treated with the postoperative C-TEA (prospective group A; n = 36). Results were compared with patients undergoing abdominal aortic surgery during the previous 18-month period, with the conventional postoperative analgesia with systemic analgesics (retrospective group B; n = 38).
Results. Both groups did not significantly differ considering the type of implanted prosthesis (simple/Y; A: 22/14 vs. B: 15/23; p = 0.103), the type of operation (emergency/elective; A: 4/32 vs. B: 7/31; p = 0.554) and gender (female; A: 3/36 vs. B: 5/38; p = 0.769). Between groups the only significant difference was observed in the mean patients’ age (A: 65.4 ± 5.6 vs. B: 68.6 ± 5.7; p = 0.0324, Student’s t-test), and, which was more pronounced, in the mortality rate (A: 3/36 vs. . B: 12/38; p = 0.0280, c2 test).
Conclusions. Concluding, 1) the mortality rate was four times lower in patients treated with C-TEA than in patients with conventional postoperative analgesia, 2) we cannot exclude additional effects caused by the type of prosthesis or general medical patients’ condition on the mortality rate.
Citation Formats

Keywords

epidural analgesia; continuous analgesia; thoracic analgesia; postoperative analgesia; bupivacaine–fentanyl; abdominal aortic surgery; perioperative mortality; retro- and prospective study

About this article
Title

Effect of continuous thoracic epidural bupivacaine-fentanyl analgesia on postoperative outcome and mortality after abdominal aortic surgery

Journal

Acta Angiologica

Issue

Vol 8, No 1 (2002)

Pages

15-22

Published online

2002-02-07

Bibliographic record

Acta Angiologica 2002;8(1):15-22.

Keywords

epidural analgesia
continuous analgesia
thoracic analgesia
postoperative analgesia
bupivacaine–fentanyl
abdominal aortic surgery
perioperative mortality
retro- and prospective study

Authors

Magdalena Fijałkowska
Jadwiga Biernacka
Stefan Mocarski
Krzysztof Przesmycki

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl