REGIONAL Flashcards
1
Q
Benefits of Epidural
A
General
- good operating conditions
- good post op analgesia
Reduced neuroendocrine stress response
- decrease O2 consumption
- decrease catecholamine release
- less catabolism
- less hyperglycaemia
- ?less immunosuppresion
Improved GI Function
- Less Post op Illeus compaed to opioids
- Increased gut mucosal perfusion by increased mesenteric blood flow
- Faster recovery gut function
- NOTE segmental blockade of T5-12 needed to decrease sympathetically mediated peristaltic inhibtion, preserving vagal tone
Improved Respiratory Function
- decreased PPC - infection
- increased pulmonary oxygenation
Cardiovascular
Less DVT
Less blood loss
