Does regional anaesthesia really improve outcome?

被引:119
作者
Kettner, S. C. [1 ]
Willschke, H. [1 ]
Marhofer, P. [1 ]
机构
[1] Med Univ Vienna, Dept Anaesthesia Intens Care Med & Pain Therapy, A-1090 Vienna, Austria
关键词
economy; outcome; regional anaesthesia; THORACIC EPIDURAL-ANESTHESIA; PERIPHERAL-NERVE BLOCK; HIP FRACTURE SURGERY; GENERAL-ANESTHESIA; ROPIVACAINE HYDROCHLORIDE; CANCER RECURRENCE; ANALGESIA REDUCE; BREAST-CANCER; PAIN; INFLAMMATION;
D O I
10.1093/bja/aer340
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
In recent decades, a number of studies have attempted to determine whether regional anaesthesia offers convincing benefits over general anaesthesia. However, today we interpret meta-analyses more carefully, and it remains unclear whether regional anaesthesia reduces mortality. However, regional anaesthesia offers superior analgesia over opioid-based analgesia, and a significant reduction in postoperative pain is still a worthwhile outcome. Recent developments in technical aspects of regional anaesthesia have the potential to provide significant advantages for many patients in all age groups. Moreover, studies focusing on specific outcomes have shown benefits for regional anaesthesia used for surgery and postoperative analgesia.
引用
收藏
页码:90 / 95
页数:6
相关论文
共 48 条
[1]  
[Anonymous], 2004, Cochrane Database Syst. Rev, DOI [DOI 10.1002/14651858.CD000521.PUB2, 10.1002/14651858.CD000521.pub2]
[2]   RETRACTED: Postoperative ileus: A review (Retracted Article - See vol 48, pg 1983, 2005) [J].
Baig, MK ;
Wexner, SD .
DISEASES OF THE COLON & RECTUM, 2004, 47 (04) :516-526
[3]   Effects of preemptive analgesia on pain and cytokine production in the postoperative period [J].
Beilin, B ;
Bessler, H ;
Mayburd, E ;
Smirnov, G ;
Dekel, A ;
Yardeni, I ;
Shavit, Y .
ANESTHESIOLOGY, 2003, 98 (01) :151-155
[4]   Anesthetic technique for radical prostatectomy surgery affects cancer recurrence - A retrospective analysis [J].
Biki, Barbara ;
Mascha, Edward ;
Moriarty, Denis C. ;
Fitzpatrick, John M. ;
Sessler, Daniel I. ;
Buggy, Donal J. .
ANESTHESIOLOGY, 2008, 109 (02) :180-187
[5]   Effects of perioperative analgesic technique on the surgical outcome and duration of rehabilitation after major knee surgery [J].
Capdevila, X ;
Barthelet, Y ;
Biboulet, P ;
Ryckwaert, Y ;
Rubenovitch, J ;
d'Athis, F .
ANESTHESIOLOGY, 1999, 91 (01) :8-15
[6]  
Davies J, 2001, ANAESTHESIA, V56, P709
[7]   Effects of epidural-and-general anesthesia combined versus general anesthesia alone on the venous hemodynamics of the lower limb - A randomized study [J].
Delis, KT ;
Knaggs, AL ;
Mason, P ;
Macleod, KG .
THROMBOSIS AND HAEMOSTASIS, 2004, 92 (05) :1003-1011
[8]   Minimal Local Anesthetic Volume for Peripheral Nerve Block: A New Ultrasound-Guided, Nerve Dimension-Based Method [J].
Eichenberger, Urs ;
Stoeckli, Stefan ;
Marhofer, Peter ;
Huber, Gudrun ;
Willimann, Patrick ;
Kettner, Stephan C. ;
Pleiner, Johannes ;
Curatolo, Michele ;
Kapral, Stephan .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2009, 34 (03) :242-246
[9]   Can anesthetic technique for primary breast cancer surgery affect recurrence or metastasis? [J].
Exadaktylos, Aristomenis K. ;
Buggy, Donal J. ;
Moriarty, Denis C. ;
Mascha, Edward ;
Sessler, Daniel I. .
ANESTHESIOLOGY, 2006, 105 (04) :660-664
[10]   Postoperative analgesia for shoulder surgery: a critical appraisal and review of current techniques [J].
Fredrickson, M. J. ;
Krishnan, S. ;
Chen, C. Y. .
ANAESTHESIA, 2010, 65 (06) :608-624