Comparison of Peri-operative Risks between General Anesthesia and Thoracic Epidural Blockade Combined with General Anesthesia for on Hepatectomy.
10.4097/kjae.2002.43.1.73
- Author:
Seok Hwa YOON
1
;
Hyun Bong SHIN
;
Youn Suk SON
;
Jae Nam YI
;
Yoon Hee KIM
;
Jung Un LEE
Author Information
1. Department of Anesthesiology, College of Medicine, Chungnam National University, Daejeon, Korea.
- Publication Type:Original Article
- Keywords:
Hepatectomy;
general anesthesia;
perioperative risk;
thoracic epidural blockade
- MeSH:
Analgesia;
Analgesics;
Anesthesia, General*;
Blood Loss, Surgical;
Constipation;
Hepatectomy*;
Humans;
Hypotension;
Length of Stay;
Nausea;
Pain, Postoperative;
Perioperative Period;
Retrospective Studies;
Risk Factors;
Urinary Retention;
Urticaria;
Vomiting
- From:Korean Journal of Anesthesiology
2002;43(1):73-79
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: This study was conducted to investigate risk factors for perioperative periods between general anesthesia (GA group) and thoracic epidural blockade combined with general anesthesia (CEA group) for consecutive hepatic resections. METHODS: A retrospective chart review was carried out regarding 85 patients who had undergone hepatic resections. We compared the effects of postoperative pain control in the two groups, including pulmonary complications and durations of hospital stay. RESULTS: There was no significant difference in demographic data between the two groups. The perioperative fluid requirement and transfusions were lower in the CEA group. Supplemental analgesics requirement was significantly lower in the CEA group than the GA group in the 3 days postoperatively. There were no statistical difference between the two groups in nausea, vomiting, urticaria, constipation or urinary retention, but hypotension was more pronounced in the CEA group than the GA group. Postoperative pulmonary and surgical complications were similar between the two groups, but the duration of hospital stay was longer in the GA group than the CEA group. CONCLUSIONS: We conclude that the thoracic epidural blockade combined with general anesthesia provided lower surgical blood loss and better postoperative analgesia and hospital stay than general anesthesia for hepatic resections.
