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October 08, 2007

Pain relief after colorectal surgery

Epidural analgesia after colorectal surgery was examined via a meta-analysis of 16 trials published between 1987 and 2005.  Epidural analgesia compared to parenteral opioid analgesia provided significantly reduced pains scores and decreased duration of ileus.  There was an increase in the incidence of pruritus, urinary retention and hypotension with epidural analgesia.  There was no difference in duration of hospital stay (Marret E et al: Meta-analysis of epidural analgesia versus parenteral opioid analgesia after colorectal surgery.  B J Surg 2007;94:665-673.

David S. Smith, M.D., Ph.D.

Posted at 03:22 PM in Clinical Care, Clinical Research, pain therapy |

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  • Blogmaster
    This blog is organized and maintained by David S. Smith, M.D., Ph.D. Associate Professor of Anesthesiology and Critical Care, University of Pennsylvania. His subspeciality is anesthesia for patients undergoing neurosurgery. For the past 6 years he has had responsibilites for patient safety and clinical care quality improvment in a Department of over 65 faculty who provide anesthesia care for about 24,000 patients each year. Correspondance can be sent to [email protected]
  • Mission Statement
    The purpose of this blog is primarily to provide ongoing contact with former residents and faculty of the Department of Anesthesiology and Critical Care at the University of Pennsylvania, Philadelphia, PA, U.S.A. Others may also have an interest in the topics presented. We plan to discuss a variety of issues related to the practice of anesthesiology with an emphasis on patient safety, risk management and medical legal aspects of care.
  • Disclaimer
    The content and observations on this Weblog come mostly from members of the Department of Anesthesiology and Critical Care of the University of Pennsylvania. However this material does not represent the official opinion of that Department, the University of Pennsylvania or any of its other Departments or Divisions. Medicine is a rapidly changing field. We cannot guarantee that any of the material here is correct or up to date.
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