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Epidural analgesia versus oral morphine for postoperative pain management following video-assisted thoracic surgery: A randomised, controlled, double-blind trial.


ABSTRACT:

Background

The use of thoracic epidural analgesia for postoperative pain management in video-assisted thoracic surgery (VATS) is controversial. Still, the evidence on omitting it in favour of systemic opioids is inconclusive, and studies are small and non-blinded.

Objective

We aimed to compare pain after VATS using epidural analgesia or enteral opioids for postoperative pain management.

Design/setting/patients/intervention

A randomised, double-blind, controlled trial at a Danish tertiary hospital. Adult patients scheduled for VATS were assigned to multimodal non-opioid baseline analgesia supplemented with either thoracic epidural analgesia (TE Group) or oral morphine (OM Group) for postoperative pain management. We recorded pain five times a day, both at rest and duri

SUBMITTER: Holm JH 

PROVIDER: S-EPMC10720867 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature