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Effect of continuous thoracic epidural bupivacaine-fentanyl analgesia on postoperative outcome and mortality after abdominal aortic surgery
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Abstract
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
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.
Keywords
epidural analgesia; continuous analgesia; thoracic analgesia; postoperative analgesia; bupivacaine–fentanyl; abdominal aortic surgery; perioperative mortality; retro- and prospective study
About this articleTitle
Effect of continuous thoracic epidural bupivacaine-fentanyl analgesia on postoperative outcome and mortality after abdominal aortic surgery
Journal
Issue
Article type
Research paper
Pages
15-22
Published online
2002-02-07
Page views
673
Article views/downloads
1635
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