Thoracic Epidural Analgesia and Acute Pain Management Full Text
Manion SC et al.– Thoracic epidural analgesia (TEA) is beneficial by providing superior perioperative analgesia compared with parenteral opioids, decreasing pulmonary complications and duration of mechanical ventilation, decreasing postoperative catabolism, and decreasing the duration of postoperative ileus after abdominal surgery. In addition, TEA likely reduces morbidity and mortality in patients incurring multiple rib fractures. Complications associated with TEA appear to be rare. Thus, it continues to be imperative that anesthesiologists use TEA in selected patients for acute pain management.