作者
Amit Bardia, Akshay Sood, Feroze Mahmood, Vwaire Orhurhu, Ariel Mueller, Mario Montealegre-Gallegos, Marc R Shnider, Klaas HJ Ultee, Marc L Schermerhorn, Robina Matyal
发表日期
2016/12/1
期刊
JAMA surgery
卷号
151
期号
12
页码范围
1116-1123
出版商
American Medical Association
简介
Importance
Epidural analgesia (EA) is used as an adjunct procedure for postoperative pain control during elective abdominal aortic aneurysm (AAA) surgery. In addition to analgesia, modulatory effects of EA on spinal sympathetic outflow result in improved organ perfusion with reduced complications. Reductions in postoperative complications lead to shorter convalescence and possibly improved 30-day survival. However, the effect of EA on long-term survival when used as an adjunct to general anesthesia (GA) during elective AAA surgery is unknown.
Objective
To evaluate the association between combined EA-GA vs GA alone and long-term survival and postoperative complications in patients undergoing elective, open AAA repair.
Design, Setting, and Participants
A retrospective analysis of prospectively collected data was performed. Patients undergoing elective AAA repair between January 1, 2003, and …
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A Bardia, A Sood, F Mahmood, V Orhurhu, A Mueller… - JAMA surgery, 2016