A sample of Australian hospitals was surveyed about their practice preferences in relation to the management of epidural analgesia for postoperative pain. Results indicated substantial variation in practice preference across institutions with respect to observation protocols, epidural analgesia duration, catheter removal where anticoagulant therapy is concurrent and management of catheter problems. Further research appears necessary to develop optimal epidural analgesia management practice.
BallantyneJ.C., CarrD.B., deFerrantiS.. The comparative effects of postoperative analgesic therapies on pulmonary outcome: cumulative meta-analyses of randomized, controlled trials.Anesth Analg1998; 86: 598–612.
2.
CapdevillaX., BartheletY., BibouletP., RyckwaertY., RubenovitchJ., d'AthisF.Effects of perioperative analgesic technique on the surgical outcome and duration of rehabilitation after major knee surgery.Anesthesiology1999; 91: 8–15.
3.
Eriksson-MjobergM., SvenssonJ.O., AlmkvistO., OlundA., GustafssonL.L.Extradural morphine gives better pain relief than patient-controlled i.v. morphine after hysterectomy.Br J Anaesth1997; 78: 10–16.
4.
MannC., PouzeratteY., BoccaraG.. Comparison of intravenous or epidural patient-controlled analgesia in the elderly after major abdominal surgery.Anesthesiology2000; 92: 433–441.
RawalN.Epidural and spinal agents for postoperative analgesia.Surg Clin North Amer1999; 79: 313–344.
7.
BreivikH.Neurological complications in association with spinal and epidural analgesia—again.Acta Anaesth Scand1998; 42: 609–613.
8.
KindlerC.H., SeebergerM.D., StaenderS.E.Epidural abscess complicating epidural anaesthesia and analgesia. An analysis of the literature.Acta Anaesth Scand1998; 42: 614–620.
9.
ThomasJ.Australian Prescription Products Guide2000. Volume two K-Z; 2119.
10.
MorrisonL.M.M., EmanuelssonB.M., McClureJ.H.. Efficacy and kinetics of extradural ropivacaine: comparison with bupivacaine.Br J Anaesth1994; 72: 164–169.
WangL.P., HauerbergJ., SchmidtJ.F.Incidence of spinal epidural abscess after epidural analgesia: a national 1-year survey.Anesthesiology1999; 91: 1928–1936.
13.
SkiltonR.W., JusticeW.Epidural haematoma following anticoagulant treatment in a patient with an indwelling epidural catheter.Anaesthesia1998; 53: 691–695.
14.
YinB., BarrattS.M., PowerI., PercyJ.Epidural haematoma after removal of an epidural catheter in a patient receiving high-dose enoxaparin.Br J Anaesth1999; 82: 288–290.
15.
HorlockerT.Editorial: Regional Anesthesia and Analgesia in the Patient Receiving Thromboprophylaxis.Reg Anesth1996; 21: 503–507.
16.
CheckettsM.R., WildsmithJ.A.Central nerve block and thromboprophylaxis—is there a problem?Br J Anaesth1999; 82: 164–167.
17.
American Society of Regional Anesthesia.Reg Anesth Pain Med1998; 23(6): Supplement 2.