Epidural analgesia versus patient-controlled intravenous analgesia for pain following intra-abdominal surgery in adults.

The Cochrane Database of Systematic Reviews
Jon H SalicathMichael H Bennett

Abstract

Intravenous patient-controlled analgesia (IVPCA) with opioids and epidural analgesia (EA) using either continuous epidural administration (CEA) or patient-controlled (PCEA) techniques are popular approaches for analgesia following intra-abdominal surgery. Despite several attempts to compare the risks and benefits, the optimal form of analgesia for these procedures remains the subject of debate. The objective of this review was to update and expand a previously published Cochrane Review on IVPCA versus CEA for pain after intra-abdominal surgery with the addition of the comparator PCEA. We have compared both forms of EA to IVPCA. Where appropriate we have performed subgroup analysis for CEA versus PCEA. We searched the following electronic databases for relevant studies: Cochrane Central Register of Controlled Trials (CENTRAL) (2017; Issue 8), MEDLINE (OvidSP) (1966 to September 2017), and Embase (OvidSP) (1988 to September 2017) using a combination of MeSH and text words. We searched the following trial registries: Australian New Zealand Clinical Trials Registry, ClinicalTrials.gov, and the EU Clinical Trials Register in September 2017, together with reference checking and citation searching to identify additional studies.We inc...Continue Reading

References

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Citations

Mar 2, 2019·The Cochrane Database of Systematic Reviews·Joanne Guay, Sandra Kopp
Jan 7, 2020·The British Journal of Surgery·C Small, H Laycock
Jan 11, 2019·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·P ProbstM K Diener
Apr 28, 2020·Anesthesiology and Pain Medicine·Sirilak SuksompongBenno von Bormann
Dec 16, 2020·Minerva anestesiologica·María T FernÁndezEsperanza Ortigosa
Aug 28, 2021·Journal of Clinical Medicine·Paula DudekFederico Bilotta

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