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. 2014 Jan 25;2014(1):CD010108. doi: 10.1002/14651858.CD010108.pub2
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