Effectiveness of preoperative thoracic epidural testing strategies: a retrospective comparison of three commonly used testing methods
Authors' conclusion
Objective preoperative testing after placement of thoracic epidurals was associated with a reduction in failure rates.
Study context
- Population
- Patients receiving preoperative thoracic epidural analgesia for major thoracic and abdominal surgery, single institution, January 2016–December 202128 excluded
- Participants
- 1,241 patients
- Exposure
- Preoperative thoracic epidural analgesia (TEA) catheter testing vs no test
- Outcome
- TEA failure (success = bilateral dermatomal sensory block to ice test postoperatively and use for analgesia for at least 24 hr)
Methodological detailssingle-institution
- Single-institution
Main finding
As reported in the abstract
TEA failure rate
P < 0.001
Observational data: associations, not effects.
Original publication
Effectiveness of preoperative thoracic epidural testing strategies: a retrospective comparison of three commonly used testing methods. Can J Anaesth. Published 28 July 2023. doi:10.
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