Thoracic Epidural Versus Intravenous Patient-Controlled Analgesia after Open Colorectal Cancer Surgery

• DOI: 10.20471/acc.2017.56.02.07
• Publication Date: 2017-10-17T11:49:31Z
• Authors: Dragana Radovanović
• Keywords: Male; Analgesia, epidural; 03 medical and health sciences; Ileus; 0302 clinical medicine; Colorectal surgery; Humans; Pain Management; Anesthetics, Local; Defecation; Infusions, Intravenous; Aged; Levobupivacaine; Morphine; R; Analgesia, Patient-Controlled; Length of Stay; Middle Aged; 3. Good health; Analgesia, Epidural; Analgesics, Opioid; Fentanyl; Medicine; Drug Therapy, Combination; Female; Colorectal Neoplasms; Anesthetics, Intravenous; Analgesia, patient-controlled

Th e aim of the study was to compare thoracic epidural analgesia (TEA) and intravenous patient-controlled (IV-PCA) after open colorectal cancer surgery.Th is prospective included sixty patients scheduled for elective surgery randomized either postoperative IV-PCA with morphine (n=30) or TEA a mixture levobupivacaine, fentanyl adrenaline (n=30).Th primary outcome return bowel function.Th secondary quality at rest, on coughing during mobilization.Intermediate outcomes patient satisfaction, time out bed, rate side eff ects complications, discharge.Recovery ileus occurred sooner (p<0.001) resumption dietary intake achieved earlier in group.Intensity pain first 3 days significantly lower mobilization (p<0.001), much more effi cient (p<0.005) than group.Satisfaction scores were better group (p<0.001).Nausea, sedation delirium less frequently (p<0.05,p<0.001 p<0.05, respectively).TEA demonstrated ectiveness had positive impact function, intake, satisfaction early mobilization.Th results this importance implementation as preferred method control major surgery.