局麻技术与术后镇痛管理课件.pptVIP

Needed – the complete picture ? ? Prevention of cancer recurrence? Perioperative EDA and outcome after major surgery Summary Perioperative EDA provides outstanding analgesia No major advantages in other outcomes As good or better alternatives now available (major knee,hip, abdominal,thoracic surgery) May have a role in:???????- high risk patients undergoing major surgery???????- reducing risk of persistent post-surgical pain???????- reducing risk of cancer recurrence Studies necessary to establish risk-benefit of this invasive and expensive technique Is bupivacaine passé? Indications for