High Thoracic Epidural Analgesia in Cardiac Surgery: Part 1—High Thoracic Epidural Analgesia Improves Cardiac Performance in Cardiac Surgery Patients

2012 ◽  
Vol 26 (6) ◽  
pp. 1039-1047 ◽  
Author(s):  
Carl-Johan Jakobsen ◽  
Rajesh Bhavsar ◽  
Dorthe Viemose Nielsen ◽  
Pia Katarina Ryhammer ◽  
Erik Sloth ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Epidural Analgesia ◽  
Cardiac Performance ◽  
Thoracic Epidural Analgesia ◽  
Thoracic Epidural ◽  
High Thoracic Epidural

Reply: High Thoracic Epidural Analgesia and Cardiac Performance

2013 ◽  
Vol 27 (3) ◽  
pp. e35
Author(s):  
Carl-Johan Jakobsen ◽  
Dorthe Viemose Nielsen ◽  
Pia Katarina Ryhammer ◽  
Rajesh Bhavsar ◽  
Erik Sloth ◽  
...  
Keyword(s):  
Epidural Analgesia ◽  
Cardiac Performance ◽  
Thoracic Epidural Analgesia ◽  
Thoracic Epidural ◽  
High Thoracic Epidural

scholarly journals High Thoracic Epidural Analgesia for Cardiac Surgery: An Audit of 874 Cases

2007 ◽  
Vol 35 (3) ◽  
pp. 374-377 ◽  
Author(s):  
C. F. Royse ◽  
P. F. Soeding ◽  
A. G. Royse
Keyword(s):  
Cardiac Surgery ◽  
Epidural Analgesia ◽  
Case Series ◽  
Epidural Haematoma ◽  
Neurological Complications ◽  
Thoracic Epidural Analgesia ◽  
Thoracic Epidural ◽  
Increased Risk ◽  
High Thoracic Epidural ◽  
Pulmonary Bypass

Despite clinical use for over 10 years, high thoracic epidural analgesia for cardiac surgery remains controversial, due to a perceived increased risk of epidural haematoma resulting from anticoagulation for cardiac pulmonary bypass. There are no sufficiently large randomised studies to address this question and few large case series reported. For this reason, we conducted an audit of neurological complications related to high thoracic epidural analgesia during cardiac surgery in our institution between 1998 and end 2005. During this period 874 patients received epidural analgesia. There were no neurological complications attributable to epidural use. Our findings suggest that major neurological complications related to high thoracic epidural use during cardiac surgery are rare.

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