- Epidural benefits
Link:www.aagbi.org/sites/default/files/epidural_analgesia_2011.pdf
- Pulmonary function
- Decreased atelectasis
- Decreased infection
- Improve ventilation
- Avoidance of high dose opiates
- Improves co-operation with physio
- GI
- Decreased post-op ileus
- Earlier enteral feeding
- Bowel well contracted during surgery
- Blood loss
- Decreased intra-op blood loss
- TED
- Attenuated stress response and associated hypercoagulability
- Possibly reduced incidence of TED
- 1/3 are inadequate for intended duration
- MASTER STUDY
Link:www.frcamindmaps.org/mindmaps/misc/trials/trials.html
- No difference in mortality
- May be small subset who benefit
- CVS
- Decreased SNS activity
- Less tachycardia
- Fewer arrhythmias
- Decreased thrombotic tendency
- Decreased post-op MI
- BP stability
- Improved graft patency