Epidural Analgesia

The relief of pain without loss of consciousness through the introduction of an analgesic agent into the epidural space of the vertebral canal. It is differentiated from ANESTHESIA, EPIDURAL which refers to the state of insensitivity to sensation.

Also Known As:

Networked: 3453 relevant articles (332 outcomes, 463 trials/studies)

Relationship Network

Therapy Context: Research Results

Experts

1.	Chang, Kuang-Yi: 22 articles (01/2022 - 09/2006)
2.	Tsou, Mei-Yung: 18 articles (01/2022 - 09/2006)
3.	Sng, Ban Leong: 13 articles (01/2022 - 10/2014)
4.	Benhamou, D: 13 articles (05/2013 - 08/2000)
5.	Kehlet, H: 11 articles (02/2013 - 03/2000)
6.	Sessler, Daniel I: 10 articles (01/2022 - 07/2008)
7.	Wu, Christopher L: 10 articles (11/2010 - 11/2003)
8.	Cata, Juan P: 9 articles (01/2019 - 10/2008)
9.	Hollmann, Markus W: 9 articles (01/2019 - 01/2013)
10.	Kranke, Peter: 9 articles (01/2018 - 10/2009)

Related Diseases

1.	Pain (Aches) 12/01/2020 - "The pain relief from epidural analgesia can be accompanied with altered functional connectivity, which was most evident in the cingulo-frontal system. " 12/01/2013 - "The key findings were: Double-lumen tube is still the first choice lung separation technique in current use; pressure-controlled ventilation and volume-controlled ventilation modes are homogenously distributed across the sample and, a tidal volumes (VT) of 4-6 mL/kg during OLV was preferred to all others; moderate or restrictive fluid management were the most used strategies of fluid administration in thoracic anesthesia; thoracic epidural analgesia represented the "gold standard" for post-thoracotomy pain relief in combination with intravenous analgesia. " 07/01/2009 - "During the last two decades, epidural analgesia has become 'a gold standard' for labour pain in most Western countries. " 10/01/2008 - "The pain score, had significant reduction in all groups with best results observed in Group 3. The onset of analgesia was relatively rapid in Group 2 followed by Group 3 then Group 1. The duration of analgesia was prolonged in Group 1 followed by Group 3 and then Group 2. There was no incidence of motor block except in 5 parturient (20%) in Group 1. UAPI was significantly decreased in the three studied groups after epidural analgesia. " 12/01/2003 - "Continuous epidural analgesia resulted in good pain relief, provided the best balance of analgesia and side effects and improved postoperative outcome."
2.	Postoperative Pain 03/01/1992 - "Although most studies suggest that epidural analgesia is superior for postoperative pain relief, few clearly demonstrate an improvement in pulmonary function attributable to epidural analgesia. " 05/01/2015 - "In addition, epidural analgesia was found to be associated with improved postoperative pain scores compared with intravenous patient-controlled analgesia on PODs 1 (P = 0.0001) and 2 (P = 0.004), and there was a slight improvement on POD 3, but this was not significant (P = 0.77). " 10/30/2020 - "Local infiltration is superior to epidural analgesia for postoperative pain control after TKA, whereas for THA patients inconsistent results were obtained at various times." 01/01/2019 - "Thoracic epidural analgesia was effective in reducing post-operative pain with no effect on major post-operative complications. " 04/15/2003 - "To compare the efficacy of patient-controlled analgesia (PCA) with that of patient-controlled epidural analgesia (PCEA) in terms of overall patient satisfaction with postoperative pain management after lumbar spine fusion. "
3.	Labor Pain 10/01/2002 - "Labour epidural analgesia still remains the 'gold standard' of obstetric pain management, although spinal analgesia with the single-injection technique is an attractive option due to its simplicity, reliability and efficacy. " 05/08/2023 - "Epidural analgesia is a suitable and effective treatment for labor pain. " 01/01/2010 - "Epidural analgesia is an extremely effective and popular treatment for labor pain. " 01/01/2019 - "Epidural analgesia provides safe and effective labor pain relief. " 09/01/2012 - "Although there still are some difficulties, complications and controversies, epidural analgesia provides safe and effective labor pain control."
4.	Hypotension (Low Blood Pressure) 01/01/2022 - "Conclusions: Compared with epidural analgesia, LB was associated with economic benefits and reduced incidence of postsurgical hypotension and vasopressor use." 07/01/2018 - "The thoracic epidural analgesia is the gold standard in such surgeries; however, there are few adverse effects such as hypotension, dural puncture, and contralateral block that always warrants safer alternative. " 10/18/2004 - "In one epidural trial using high-dose local anaesthetic, preloading with intravenous fluids was shown to counteract the hypotension which frequently follows traditional epidural analgesia (relative risk (RR) 0.07, 95% confidence interval (CI) 0.01 to 0.53; 102 women). " 05/01/1995 - "Many studies show that epidural analgesia can indeed protect the fetus if hypotension is prevented. " 07/01/1992 - "The purpose of the study was to identify variables that may place the total knee arthroplasty patient receiving epidural analgesia at risk for hypotension postoperatively. "
5.	Scoliosis 07/01/2006 - "Continuous epidural analgesia through two epidural catheters was shown to be effective after posterior scoliosis correction. " 06/01/2008 - "Properly performed and assessed, the addition of epidural analgesia after scoliosis surgery is a safe and effective form of analgesia and the benefits far outweigh the risks." 09/01/2013 - "To compare the efficacy of intravenous analgesia with single and dual continuous epidural analgesia (CEA) in patients with adolescent idiopathic scoliosis (AIS) undergoing posterior spinal fusion and instrumentation (PSIF). " 02/01/2010 - "Efficacy of postoperative epidural analgesia in adolescent scoliosis surgery: a meta-analysis." 01/15/2005 - "To compare the safety and efficacy of continuous epidural analgesia and patient-controlled analgesia following adolescent idiopathic scoliosis surgery. "

Related Drugs and Biologics

1.	Opioid Analgesics (Opioids)
2.	Tea
3.	Analgesics (Analgesic Drugs)
4.	Morphine (MS Contin)
5.	Bupivacaine (Bupivacaine Hydrochloride)
6.	Ropivacaine (Naropin)
7.	Sufentanil (Sufenta)
8.	Fentanyl (Sublimaze)
9.	Local Anesthetics
10.	Remifentanil (Ultiva)

Related Therapies and Procedures

1.	Analgesia
2.	Thoracotomy
3.	Patient-Controlled Analgesia (Analgesia, Patient Controlled)
4.	Pain Management
5.	Length of Stay