Epidural during/Post spine surgery gives better outcomes

Epidural during/Post spine surgery gives better outcomes
In patients undergoing reconstructive spine surgery, combined epidural and general anesthesia results in better pain control and other outcomes compared with general anesthesia plus narcotics, according to a study published in the July 1 issue of Spine.

(HealthDay)—In patients undergoing reconstructive spine surgery, combined epidural and general anesthesia results in better pain control and other outcomes compared with general anesthesia plus narcotics, according to a study published in the July 1 issue of Spine.

Anna A. Ezhevskaya, M.D., from the Nizhny Novgorod Research Institute of Traumatology and Orthopedics in Russia, and colleagues randomly assigned 85 patients undergoing reconstructive to epidural anesthesia and endotracheal anesthesia with sevoflurane during surgery and continuous epidural analgesia with ropivacaine, fentanyl, and epinephrine after surgery, or general anesthesia with sevoflurane and fentanyl and systemically administered opioids after surgery.

The researchers found that the group receiving epidural anesthesia experienced significantly less pain and nausea, earlier mobility, higher satisfaction, and significantly less introperative and postoperative blood loss. The epidural group also had lower levels of glucose, cortisol, and -1?, -6, and -10 postoperatively.

"Combined epidural/general anesthesia and postoperative epidural analgesia produced better pain control, less bleeding, and a lower surgical than general anesthesia with postoperative systemically administered narcotic analgesia," Ezhevskaya and colleagues conclude.


Explore further

Bolus epidural fentanyl cuts post-spinal decompression pain

More information: Abstract
Full Text (subscription or payment may be required)
Journal information: Spine

Health News Copyright © 2013 HealthDay. All rights reserved.

Citation: Epidural during/Post spine surgery gives better outcomes (2013, July 17) retrieved 17 September 2019 from https://medicalxpress.com/news/2013-07-epidural-duringpost-spine-surgery-outcomes.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
 shares

Feedback to editors

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more