[Current opinion in epidural analgesia influence on incidence of complications after major abdominal surgery].
Review article summarizes current knowledge of general and epidural anaesthesia combination for major abdominal surgery and incidence of postoperative complications. Continuous epidural local anaesthetics especially through thoracic placed epidural catheter decrease opioids use and as part of "acute rehabilitation" plays important role in postoperative recovery. Most of the studies showed tion is not dependent on kind of anaesthesia and analgesia. Successfully treated postoperative pain prevents chronic postoperative pain, which is best achieved in abdominal surgery with thoracic epidural use.
Washington University, School of Medicine, Anesthesiology Department, St Louis, Missouri, USA.
D M
DM
Stamenković
V I
VI
Ranković
Z V
ZV
Slavković
M
M
Ostojić
D000005:Abdomen / Q000601:surgery*; D015360:Analgesia, Epidural; D006801:Humans; D010149:Postoperative Pain / Q000517:prevention & control; D011183:Postoperative Complications