ISSN: 2155-6148
Enrico M Camporesi
Tampa General Hospital,
Tampa
Tanzania
Research Article
Thoracic Epidural Analgesia vs. IV Analgesia after Lung Transplant: A Comparison of Post-operative Pain Management and Ventilatory Outcomes
Author(s): Garrett A Enten, Suvikram Puri, Kapil Patel, Zachary Stachura, Erin Schwaiger, Pratik Patel and Enrico M CamporesiGarrett A Enten, Suvikram Puri, Kapil Patel, Zachary Stachura, Erin Schwaiger, Pratik Patel and Enrico M Camporesi
Background: Few reports have evaluated postoperative continuous thoracic epidural analgesia on patients who received lung transplant. This analgesic modality may facilitate extubation, early ambulation, and achieve adequate pain control with minimization of opioid use. An opioid sparing technique could minimize the side effects of opioids such as ileus, constipation, and somnolence.
Methods: A retrospective chart review following local IRB approval was performed. A total of 97 patient’s charts were collected, from April 2015 to March 2017. Forty-eight patients received T6-T7 epidural, and forty-nine patients received standard intravenous analgesia. Outcome measures collected included length of intensive care unit stay, total duration of hospitalization, need for reintubation or noninvasive intermittent positive pressure ventilation (NIPP.. View More»