Epidural anaesthesia and analgesia

SK, Maharjan; BM, Shrestha

Publication:
Epidural anaesthesia and analgesia

dc.contributor.author	SK, Maharjan
dc.contributor.author	BM, Shrestha
dc.date.accessioned	2025-07-14T06:31:26Z
dc.date.available	2025-07-14T06:31:26Z
dc.date.issued	2004
dc.description.abstract	Objective Among various methods of providing analgesia during surgery for e.g., parenteral opiates and NSAIDS, epidural anaesthesia and analgesia seem to have beneficial efficacy and less side effect profiles. Methods This study was conducted in 153 patients coming for operation at KMCTH between August 2003 to August 2004. Patients were divided in two groups, one group were operated under sole epidural anaesthesia and the other group received a combination of either general anaesthesia or spinal anaesthesia. Results 39 (25.5%) patients underwent sole lumbar epidurals, 36 (23.5%) patients received a combination with spinal (CSE) and 78 (51.0%) were under Combination with general anaesthesia. The patients were interviewed among whom it was found that satisfactory analgesia was reported by 75 cases and 73 cases reported excellent analgesia. Patchy anaesthesia observed in 5 cases who underwent sole epidural anaesthesia. Discussion & Conclusion Patients undergoing major surgery with epidural anaesthesia and analgesia had stable cardiovascular parameters, minimal neuroendocrine response, less respiratory complications including SIRS and sepsis, lower incidence of thromboembolic events, less blood loss, reduced hospital stay and better pain control.
dc.identifier.uri	https://hdl.handle.net/20.500.14572/160
dc.language.iso	en_US
dc.publisher	Kathmandu University
dc.title	Epidural anaesthesia and analgesia
dc.type	Article
dspace.entity.type	Publication
local.article.type	Original Article
oaire.citation.endPage	23
oaire.citation.startPage	18
relation.isJournalIssueOfPublication	d6977154-217a-45f2-8525-4ed9ab383e41
relation.isJournalIssueOfPublication.latestForDiscovery	d6977154-217a-45f2-8525-4ed9ab383e41