Post-Operative Thoracic Epidural Analgesia and Incidence of Major Complications according to Specific Safety Standardized Documentation: A Large Retrospective Dual Center Experience

Despoina G Sarridou, Sophia Anastasia Mouratoglou, Jeremy Mitchell, Felicia Cox, Afroditi Boutou, Maria Braoudaki, George Lambrou, Maria Konstantinidou, Heklena Argyriadou, Christopher Walker

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Abstract

(1) Background: Thoracic epidural analgesia is considered the gold standard in post-operative pain management following thoracic surgery. This study was designed to explore the safety of thoracic epidural analgesia and to quantify the incidence of its post-operative complications and side effects in patients undergoing thoracotomy for major surgery, such as resection of lung malignancies and lung transplantation.
(2) Methods: This is a retrospective, dual-center observational study including patients that underwent major thoracic surgery including lung transplantation and received concurrent placement of thoracic epidural catheters for post-operative analgesia. An electronic system of referral and documentation of complications was used, and information was retrieved from our electronic critical care charting system.
(3) Results: In total, 1145 patients were included in the study. None of the patients suffered any major complication, including hematoma, abscess, or permanent nerve damage.
(4) Conclusions: the present study showed that in experienced centers, post-operative epidural analgesia in patients with thoracotomy is a safe technique, manifesting minimal, none-serious complications.
Original languageEnglish
Article number1672
Pages (from-to)1-14
Number of pages14
JournalJournal of Personalized Medicine
Volume13
Issue number12
Early online date29 Nov 2023
DOIs
Publication statusPublished - 29 Nov 2023

Keywords

  • adverse effects complications
  • epidural analgesia
  • thoracic surgery
  • thoracotomy

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