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Anaesthesiology
Systematic review/Meta-analysis

Epidural analgesia during surgery and its relation to postoperative myocardial infarction: meta-analysis

Qiong Hu
1
,
Xuqi Yu
1
,
Ting Zhou
2

1.
Department of Anaesthesiology, Women and Children’s Hospital of Ningbo University, Zhejiang, China
2.
Department of Emergency, Ningbo Medical Treatment Centre Lihuili Hospital, Zhejiang, China
Videosurgery Miniinv 2024; 19 (1): 11–24
Online publish date: 2024/03/04
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1. Investigators VEiNSPCES. Association between postoperative troponin levels and 30-day mortality among patients undergoing noncardiac surgery. JAMA 2012: 307: 2590-7.
2. Kheterpal S, O’Reilly M, Englesbe MJ, et al. Preoperative and intraoperative predictors of cardiac adverse events after general, vascular, and urological surgery. Anesthesiology 2009; 110: 58-66.
3. Lansky AJ, Stone GW. Periprocedural myocardial infarction: prevalence, prognosis, and prevention. Circ Cardiovasc Interv 2010; 3: 602-10.
4. Lentine KL, Costa SP, Weir MR, et al. Cardiac disease evaluation and management among kidney and liver transplantation candidates: a scientific statement from the American Heart Association and the American College of Cardiology Foundation. J Am Coll Cardiol 2012; 60: 434-80.
5. Royse C, Royse A, Soeding P, et al. Prospective randomized trial of high thoracic epidural analgesia for coronary artery bypass surgery. Ann Thorac Surg 2003; 75: 93-100.
6. Chaney MA. Intrathecal and epidural anesthesia and analgesia for cardiac surgery. Anesth Analg 2006; 102: 45-64.
7. Svircevic V, Nierich AP, Moons KG, et al. Thoracic epidural anesthesia for cardiac surgery: a randomized trial. Anesthesiology 2011; 114: 262-70.
8. Elzohry AAM, Mohamad MF, Obiedallah AA, et al. Impact of thoracic epidural analgesia on major adverse cardiac events (maces) following major gastrointestinal cancer surgeries. Arch Anesthesiol 2019: 2: 1-14.
9. Mohamad MF, Mohammad MA, Hetta DF, et al. Thoracic epidural analgesia reduces myocardial injury in ischemic patients undergoing major abdominal cancer surgery. J Pain Res 2017; 10: 887-95.
10. Priestley MC, Cope L, Halliwell R, et al. Thoracic epidural anesthesia for cardiac surgery: the effects on tracheal intubation time and length of hospital stay. Anesth Analg 2002; 94: 275-82.
11. Volk T, Döpfmer UR, Schmutzler M, et al. Stress induced IL-10 does not seem to be essential for early monocyte deactivation following cardiac surgery. Cytokine 2003; 24: 237-43.
12. Scott NB, Turfrey DJ, Ray DA, et al. A prospective randomized study of the potential benefits of thoracic epidural anesthesia and analgesia in patients undergoing coronary artery bypass grafting. Anesth Analg 2001; 93: 528-35.
13. Toda A, Watanabe G, Matsumoto I, et al. Monitoring brain oxygen saturation during awake off-pump coronary artery bypass. Asian Cardiovasc Thorac Ann 2013; 21: 14-21.
14. von der Linden J. Thoracolumbar epidural blockade as adjunct to high dose fentanyl/midazolam anesthesia in coronary surgery: effects of sternotomy. Eur J Cardiothorac Surg 1996; 10: 754-62.
15. Tenling A, Joachimsson PO, Tydén H, et al. Thoracic epidural analgesia as an adjunct to general anaesthesia for cardiac surgery: effects on pulmonary mechanics. Acta Anaesthesiol Scand 2000; 44: 1071-6.
16. Levang O, Gisvold S. Effects of thoracic epidural analgesia on pulmonary function after coronary artery bypass surgery. Eur J Cardiothorac Surg 1996; 10: 859-65.
17. Stenseth R, Bjella L, Berg E, et al. Thoracic epidural analgesia in aortocoronary bypass surgery I: Haemodynamic effects. Acta Anaesthesiol Scand 1994; 38: 826-33.
18. Stenger M, Fabrin A, Schmidt H, et al. High thoracic epidural analgesia as an adjunct to general anesthesia is associated with better outcome in low-to-moderate risk cardiac surgery patients. J Cardiothorac Vasc Anesth 2013; 27: 1301-9.
19. Sharma M, Mehta Y, Sawhney R, et al. Thoracic epidural analgesia in obese patients with body mass index of more than 30 kg/m2 for off pump coronary artery bypass surgery. Ann Card Anaesth 2010; 13: 28-33.
20. Salvi L, Parolari A, Veglia F, et al. High thoracic epidural anesthesia in coronary artery bypass surgery: a propensity-matched study. J Cardiothorac Vasc Anesth 2007; 21: 810-5.
21. Royse C, Remedios C, Royse A. High thoracic epidural analgesia reduces the risk of long-term depression in patients undergoing coronary artery bypass surgery. Ann Thorac Cardiovasc Surg 2007; 13: 32-5.
22. Rein KA, Stenseth R, Myhre H, et al. The influence of thoracic epidural analgesia on transcapillary fluid balance in subcutaneous tissue. Acta Anaesthesiol Scand 1989; 33: 79-83.
23. Porizka M, Stritesky M, Semrad M, et al. Postoperative outcome in awake, on-pump, cardiac surgery patients. J Anesth 2011; 25: 500-8.
24. Rodríguez MP, Gonzalo LS, Alvarez FV, et al. Thoracic epidural anesthesia decreases C-reactive protein levels in patients undergoing elective coronary artery bypass graft surgery with cardiopulmonary bypass. Minerva Anestesiol 2008; 74: 619-26.
25. Onan IS, Onan B, Korkmaz AA, et al. Effects of thoracic epidural anesthesia on flow and endothelium of internal thoracic artery in coronary artery bypass graft surgery. J Cardiothorac Vasc Anesth 2011; 25: 1063-70.
26. Onan B, Onan IS, Kilickan L, et al. Effects of epidural anesthesia on acute and chronic pain after coronary artery bypass grafting. J Card Surg 2013; 28: 248-53.
27. Nešković V, Milojević P, Unić-Stojanović D, et al. Blood transfusion in cardiac surgery: does the choice of anesthesia or type of surgery matter? Vojnosanitetski pregled 2013; 70: 439-44.
28. Moore C, Cross M, Desborough J, et al. Hormonal effects of thoracic extradural analgesia for cardiac surgery. Br J Anaesth 1995; 75: 387-93.
29. Mehta Y, Vats M, Sharma M, et al. Thoracic epidural analgesia for off-pump coronary artery bypass surgery in patients with chronic obstructive pulmonary disease. Ann Card Anaesth 2010; 13: 224-30.
30. Mehta Y, Swaminathan M, Mishra Y, et al. A comparative evaluation of intrapleural and thoracic epidural analgesia for postoperative pain relief after minimally invasive direct coronary artery bypass surgery. J Cardiothorac Vasc Anesth 1998; 12: 162-5.
31. Lundstrøm LH, Nygård E, Hviid LB, et al. The effect of thoracic epidural analgesia on the occurrence of late postoperative hypoxemia in patients undergoing elective coronary bypass surgery. Chest 2005; 128: 1564-70.
32. Loick HM, Schmidt C, Van Aken H, et al. High thoracic epidural anesthesia, but not clonidine, attenuates the perioperative stress response via sympatholysis and reduces the release of troponin T in patients undergoing coronary artery bypass grafting. Anesth Analg 1999; 88: 701-9.
33. Liem TH, Hasenbos MA, Booij LH, et al. Coronary artery bypass grafting using two different anesthetic techniques: Part 2: Postoperative outcome. J Cardiothorac Vasc Anesth 1992; 6: 156-61.
34. Liang Y, Chu H, Zhen H, et al. prospective randomized study of intraoperative thoracic epidural analgesia in off-pump coronary artery bypass surgery. J Anesth 2012; 26: 393-9.
35. Kirnö K, Friberg P, Grzegorczyk A, et al. Thoracic epidural anesthesia during coronary artery bypass surgery: effects on cardiac sympathetic activity, myocardial blood flow and metabolism, and central hemodynamics. Anesth Analg 1994; 79: 1075-81.
36. Kiliçkan L, Solak M, Bayindir O. Thoracic epidural anesthesia preserves myocardial function during intraoperative and postoperative period in coronary artery bypass grafting operation. J Card Surg 2005; 46: 559-67.
37. Kessler P, Aybek T, Neidhart G, et al. Comparison of three anesthetic techniques for off-pump coronary artery bypass grafting: general anesthesia, combined general and high thoracic epidural anesthesia, or high thoracic epidural anesthesia alone. J Cardiothorac Vasc Anesth 2005; 19: 32-9.
38. Kendall J, Russell G, Scawn N, et al. A prospective, randomised, single-blind pilot study to determine the effect of anaesthetic technique on troponin T release after off‐pump coronary artery surgery. Anaesthesia 2004; 59: 545-9.
39. Jidéus L, Joachimsson PO, Stridsberg M, et al. Thoracic epidural anesthesia does not influence the occurrence of postoperative sustained atrial fibrillation. Ann Thorac Surg 2001; 72: 65-71.
40. Jakobsen CJ, Bhavsar R, Nielsen DV, et al. High thoracic epidural analgesia in cardiac surgery: part 1 – high thoracic epidural analgesia improves cardiac performance in cardiac surgery patients. J Cardiothorac Vasc Anesth 2012; 26: 1039-47.
41. Jakobsen CJ, Kirkegaard H, Christiansen C, et al. Epidural anaesthesia reduces NT-proBNP after cardiac surgery: O-18. Eur J Anaesthesiol 2007; 24: 6.
42. Heijmans J, Fransen E, Buurman W, et al. Comparison of the modulatory effects of four different fast-track anesthetic techniques on the inflammatory response to cardiac surgery with cardiopulmonary bypass. J Cardiothorac Vasc Anesth 2007; 21: 512-8.
43. Hansdottir V, Philip J, Olsen MF, et al. Thoracic epidural versus intravenous patient-controlled analgesia after cardiac surgery: a randomized controlled trial on length of hospital stay and patient-perceived quality of recovery. Anesthesiology 2006; 104: 142-51.
44. Gurses E, Berk D, Sungurtekin H, et al. Effects of high thoracic epidural anesthesia on mixed venous oxygen saturation in coronary artery bypass grafting surgery. Med Sci Monit 2013; 19: 222-9.
45. Fillinger MP, Yeager MP, Dodds TM, et al. Epidural anesthesia and analgesia: effects on recovery from cardiac surgery. J Cardiothorac Vasc Anesth 2002; 16: 15-20.
46. Fawcett W, Edwards R, Quinn A, et al. Thoracic epidural analgesia started after cardiopulmonary bypass: adrenergic, cardiovascular and respiratory sequelae. Anaesthesia 1997; 52: 294-9.
47. El-Baz N, Goldin M. Continuous epidural infusion of morphine for pain relief after cardiac operations. J Cardiothorac Surg 1987; 93: 878-83.
48. Dhole S, Mehta Y, Saxena H, et al. Comparison of continuous thoracic epidural and paravertebral blocks for postoperative analgesia after minimally invasive direct coronary artery bypass surgery. J Cardiothorac Vasc Anesth 2001; 15: 288-92.
49. de Vries AJ, Mariani MA, van der Maaten JM, et al. To ventilate or not after minimally invasive direct coronary artery bypass surgery: the role of epidural anesthesia. J Cardiothorac Vasc Anesth 2002; 16: 21-6.
50. Crescenzi G, Landoni G, Monaco F, et al. Epidural anesthesia in elderly patients undergoing coronary artery bypass graft surgery. J Cardiothorac Vasc Anesth 2009; 23: 807-12.
51. Chae BK, Lee HW, Sun K, et al. The effect of combined epidural and light general anesthesia on stress hormones in open heart surgery patients. Surg Today 1998; 28: 727-31.
52. Caputo M, Alwair H, Rogers CA, et al. Thoracic epidural anesthesia improves early outcomes in patients undergoing off-pump coronary artery bypass surgery: a prospective, randomized, controlled trial. Anesthesiology 2011; 114: 380-90.
53. Caputo M, Alwair H, Rogers CA, et al. Myocardial, inflammatory, and stress responses in off-pump coronary artery bypass graft surgery with thoracic epidural anesthesia. Ann Thorac Surg 2009; 87: 1119-26.
54. Brix-Christensen V, Tønnesen E, Sørensen I, et al. Effects of anaesthesia based on high versus low doses of opioids on the cytokine and acute‐phase protein responses in patients undergoing cardiac surgery. Acta Anaesthesiol Scand 1998; 42: 63-70.
55. Berendes E, Schmidt C, Van Aken H, et al. Reversible cardiac sympathectomy by high thoracic epidural anesthesia improves regional left ventricular function in patients undergoing coronary artery bypass grafting: a randomized trial. Arch Surg 2003; 138: 1283-90.
56. Barrington MJ, Kluger R, Watson R, et al. Epidural anesthesia for coronary artery bypass surgery compared with general anesthesia alone does not reduce biochemical markers of myocardial damage. Anesth Analg 2005; 100: 921-8.
57. Bakhtiary F, Therapidis P, Dzemali O, et al. Impact of high thoracic epidural anesthesia on incidence of perioperative atrial fibrillation in off-pump coronary bypass grafting: a prospective randomized study. J Thorac Cardiovasc Surg 2007; 134: 460-4.
58. Bach F, Grundmann U, Bauer M, et al. Modulation of the inflammatory response to cardiopulmonary bypass by dopexamine and epidural anesthesia. Acta Anaesthesiol Scand 2002; 46: 1227-35.
59. Amat-Santos IJ, Dumont E, Villeneuve J, et al. Effect of thoracic epidural analgesia on clinical outcomes following transapical transcatheter aortic valve implantation. Heart 2012; 98: 1583-90.
60. Devereaux P, Goldman L, Cook DJ, et al. Perioperative cardiac events in patients undergoing noncardiac surgery: a review of the magnitude of the problem, the pathophysiology of the events and methods to estimate and communicate risk. Can Med Assoc J 2005; 173: 627-34.
61. Madhok B, Nanayakkara K, Mahawar K. Safety considerations in laparoscopic surgery: a narrative review. World J Gastroenterol 2022; 14: 1-16.
62. Kim TH, Cho JH. Nonintubated video-assisted thoracoscopic surgery lung biopsy for interstitial lung disease. Thorac Surg Clin 2020; 30: 41-8.
63. Alwatari Y, Simmond A, Ayalew D, et al. Early video-assisted thoracoscopic surgery (VATS) for non-emergent thoracic trauma remains underutilized in trauma accredited centers despite evidence of improved patient outcomes. Eur J Trauma Emerg Surg 2022; 48: 3211-9.
64. Yanik F. Current overview of awake, non-intubated, video-assisted thoracic surgery. Videosurgery Miniinv 2023; 18: 445-52.
65. Yeager MP, Glass DD, Neff RK, et al. Epidural anesthesia and analgesia in high-risk surgical patients. Anesthesiology 1987; 66: 729-36.
66. Bignami E, Landoni G, Biondi-Zoccai GG, et al. Epidural analgesia improves outcome in cardiac surgery: a meta-analysis of randomized controlled trials. J Cardiothorac Vasc Anesth 2010; 24: 586-97.
67. Svircevic V, van Dijk D, Nierich AP, et al. Meta-analysis of thoracic epidural anesthesia versus general anesthesia for cardiac surgery. Anesthesiology 2011; 114: 271-82.
68. Royse C. Epidurals for cardiac surgery: can we substantially reduce surgical morbidity or should we focus on quality of recovery? Anesthesiology 2011; 114: 232-3.
69. Sharma S, Kapoor MC, Sharma VK, et al. Epidural hematoma complicating high thoracic epidural catheter placement intended for cardiac surgery. J Cardiothorac Vasc Anesth 2004; 18: 759-62.
70. Ho AMH, Chung DC, Joynt GM. Neuraxial blockade and hematoma in cardiac surgery: estimating the risk of a rare adverse event that has not (yet) occurred. Chest 2000; 117: 551-5.
71. Wijeysundera DN, Beattie WS, Austin PC, et al. Epidural anaesthesia and survival after intermediate-to-high risk non-cardiac surgery: a population-based cohort study. Lancet 2008; 372: 562-9.
72. Katlic MR, Facktor MA. Video-assisted thoracic surgery utilizing local anesthesia and sedation: 384 consecutive cases. Ann Thorac Surg 2010; 90: 240-5.
73. Beattie WS, Badner NH, Choi P. Epidural analgesia reduces postoperative myocardial infarction: a meta-analysis. Anesth Analg 2001; 93: 853-8.
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