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Audit of complications of post-operative epidural analgesia from an Indian Cancer Centre

In European Journal of Pain Supplements
Contributor(s): Sareen R | Jain PN | | Bakshi SG.
Material type: materialTypeLabelArticleSeries: Vol 52 Issues 1.Publisher: 2011Description: 270.Subject(s): | Indian Cancer Centre | Epidural analgesia | DDC classification: In: European Journal of Pain SupplementsSummary: Background and Aims: Inadequate pain relief due to catheter or drug related issues is not uncommon and leads to patient discomfort in the post-operative period. Tata Memorial Hospital has a dedicated Acute Pain Service (APS) with analgesic protocols laid down since 2005. We conducted audit of our prevailing epidural practice from September 2008 February 2009 to look into any short comings. Methods: After permission from the Hospital IRB board, the APS data sheets were audited. All details related to epidural insertion, intra-operative and post-operative use, coanalgesic/ rescue analgesia used, pain scores were recorded. Results: Epidural was attempted in 526 patients; and abandoned in 16 patients (3%). The analgesia was inadequate warranting removal of catheter in 8 patients. The level of insertion was appropriate as per protocol in 70% of cases. The epidurals were retained for an average 59.7 hours (least 8 maximum 96 hours). 46% of cases were started on epidural bupivacaine (0.05%) + m
List(s) this item appears in: Jain PN
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Articles Articles Tata Memorial Hospital
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Background and Aims: Inadequate pain relief due to catheter
or drug related issues is not uncommon and leads to patient
discomfort in the post-operative period. Tata Memorial Hospital has
a dedicated Acute Pain Service (APS) with analgesic protocols laid
down since 2005. We conducted audit of our prevailing epidural
practice from September 2008 February 2009 to look into any
short comings.
Methods: After permission from the Hospital IRB board,
the APS data sheets were audited. All details related to
epidural insertion, intra-operative and post-operative use, coanalgesic/
rescue analgesia used, pain scores were recorded.
Results: Epidural was attempted in 526 patients; and abandoned in
16 patients (3%). The analgesia was inadequate warranting removal
of catheter in 8 patients. The level of insertion was appropriate as
per protocol in 70% of cases. The epidurals were retained for an
average 59.7 hours (least 8 maximum 96 hours). 46% of cases were
started on epidural bupivacaine (0.05%) + m

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