Pediatric anesthesia & critical care
Postoperative epidural analgesia and outcomes following pediatric bilateral lung and heart-lung transplantation: a retrospective observational study
Authors' conclusion
Despite a likely improvement in analgesia, we could not demonstrate a definitive impact of epidural analgesia on outcomes in this small cohort of patients.
Study context
- Population
- Pediatric patients after bilateral lung or en bloc heart-lung transplantation, 2006 to 2023
- Participants
- 62 patients
- Exposure
- Epidural analgesia vs no epidural
- Epiduraln = 45
- Outcome
- Hospital LOS (days)
Methodological detailssingle tertiary care transplant centre
- Single tertiary care transplant centre
Main finding
As reported in the abstract
Hospital LOS (univariate)
P = 0.02
Observational data: associations, not effects.
Secondary outcomes
Time of postoperative ventilation (univariate)
P = 0.019
5-day postoperative opioid requirement (univariate)
P = 0.004
| Outcome | P value |
|---|---|
| Overall survival | P = 0.49 |
Overall survival
- Epidural not associated with a change in overall survival
Original publication
Postoperative epidural analgesia and outcomes following pediatric bilateral lung and heart-lung transplantation: a retrospective observational study. Reg Anesth Pain Med. Published 11 September 2024. doi:10. 1136/ rapm-2024-105654
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