title: Epidural Hematoma and Abscess Related to Thoracic Epidural Analgesia: A Single-Center Study of 2,907 Patients Who Underwent Lung Surgery.
abstract: OBJECTIVE
  To report the major complications (epidural hematoma and abscess) of postoperative thoracic epidural analgesia in patients who underwent lung surgery.
  
  
  METHODS
  Prospective, monocentric study.
  
  
  METHODS
  A university hospital.
  
  
  METHODS
  All lung surgical patients who received postoperative thoracic epidural analgesia between November 2007 and November 2015.
  
  
  METHODS
  Thoracic epidural analgesia for patients who underwent lung surgery.
  
  
  RESULTS
  During the study period, data for 2,907 patients were recorded. The following 3 major complications were encountered: 1 case of epidural hematoma (0.34 case/1,000; 95% confidence interval 0.061-1.946), for which surgery was performed, and 2 cases of epidural abscesses (0.68 case/1,000; 95% confidence interval 0.189-2.505), which were treated medically.
  
  
  CONCLUSIONS
  The risk range of serious complications was moderate; only the patient who experienced an epidural hematoma also experienced permanent sequelae.
authors.affiliation: Department of Anesthesiology, Hôpital Saint Joseph, Paris, France.
authors.forename: Elisa
authors.initials: E
authors.lastname: Kupersztych-Hagege
authors.affiliation: Department of Anesthesiology, Centre Hospitalier de Versailles, Le Chesnay, France.
authors.forename: Etienne
authors.initials: E
authors.lastname: Dubuisson
authors.affiliation: Department of Anesthesiology, Hôpital Foch, Suresnes, France; Université Versailles Saint-Quenti- en-Yvelines, Versailles, France.
authors.forename: Barbara
authors.initials: B
authors.lastname: Szekely
authors.affiliation: Department of Anesthesiology, Hôpital Foch, Suresnes, France; Université Versailles Saint-Quenti- en-Yvelines, Versailles, France.
authors.forename: Mireille
authors.initials: M
authors.lastname: Michel-Cherqui
authors.affiliation: Department of Clinical Research and Innovation, Hôpital Foch, Suresnes, France.
authors.forename: Jean
authors.initials: J
authors.lastname: François Dreyfus
authors.affiliation: Department of Anesthesiology, Hôpital Foch, Suresnes, France; Université Versailles Saint-Quenti- en-Yvelines, Versailles, France. Electronic address: m.fischler@hopital-foch.org.
authors.forename: Marc
authors.initials: M
authors.lastname: Fischler
authors.affiliation: Department of Anesthesiology, Hôpital Foch, Suresnes, France; Université Versailles Saint-Quenti- en-Yvelines, Versailles, France.
authors.forename: Morgan
authors.initials: M
authors.lastname: Le Guen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015360:Analgesia, Epidural / Q000009:adverse effects* / Q000639:trends; D005260:Female; D046748:Hematoma, Epidural, Spinal / Q000000981:diagnostic imaging* / Q000453:epidemiology; D006801:Humans; D008171:Lung Diseases / Q000000981:diagnostic imaging* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D059408:Pain Management / Q000379:methods; D011446:Prospective Studies; D012189:Retrospective Studies; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging*; D055815:Young Adult
keywords: epidural abscess; epidural hematoma; lung surgery; postoperative analgesia; thoracic epidural analgesia