Methods | Regional anaesthesia added to general anaesthesia versus general anaesthesia |
Participants | 50 consecutive patients scheduled for elective abdominal aortic surgery |
Interventions | General anaesthesia in all participants with thiopental, fentanyl, nitrous oxide, enflurane and pancuronium bromide Thoracic epidural analgesia (n = 25): at T9‐T10 with 2 mL of 1.5% lidocaine with epinephrine 5 mcg/mL, followed by 5 mL hourly during surgery and 0.5% bupivacaine after surgery for 72 hours IV morphine analgesia (n = 25): 2 to 5 mg/h |
Outcomes | Death Myocardial infarction: new Q‐waves, 0.04 seconds' duration, 1 mm amplitude; or increased CPK (MB) considered to be diagnostic of myocardial damage with/without ECG changes; or recent myocardial infarction at autopsy. CK‐MB die for three days Pneumonia: infiltatres on chest x‐ray, plus two of temperature > 38ºC, raised white blood cell count or positive sputum. Chest x‐ray for three days |
Notes |