A randomized controlled trial comparing epidural analgesia versus continuous local anesthetic infiltration via abdominal wound catheter in open liver resection. Ann Surg 2019; 269: 413-419.

Emergency surgery

This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

A randomized controlled trial comparing epidural analgesia versus continuous local anesthetic infiltration via abdominal wound catheter in open liver resection. Ann Surg 2019; 269: 413-419.

Published: 21st June 2019

Authors: Bell R, Ward D, Jeffery J, Toogood G, Lodge JP, Rao K et al.

Conclusion

Duration of hospital stay was similar after both methods in this study that included 83 procedures. Patients with an epidural had more episodes of hypotension requiring vasopressors, and more episodes of treatment (pain) failure (7 versus 20 per cent; P=0.09).

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