HCPLive Network

Dual Epidural Analgesia Most Effective for Scoliosis Surgery

WEDNESDAY, Sept. 18 (HealthDay News) -- Dual continuous epidural analgesia (CEA) is the most effective pain control method following surgery for adolescent idiopathic scoliosis, according to a study published in the Sept. 1 issue of Spine.

Joshua W.B. Klatt, MD, from the University of Utah in Salt Lake City, and colleagues randomized 66 patients with adolescent idiopathic scoliosis to patient-controlled analgesia (PCA), single CEA, or double CEA. Analyzed data included postoperative pain scores, side effects, complications, and use of breakthrough medication. Recovery times were assessed by several measurements, including hospitalization, times to first bowel movement, and days to walk and climb stairs.

The researchers found that double CEA most effectively controlled pain intensity, compared to PCA and a single CEA. PCA and single CEA groups similarly controlled pain. Single CEA had the fewest side effects, with an average of 2.55 side effects per patient. Pruritis, constipation, and nausea constituted the majority of side effects. No late onset neurological events were seen in any patients.

"On the basis [of] these findings, we now routinely use the double CEA technique for all patients having surgery for adolescent idiopathic scoliosis," Klatt and colleagues conclude.

Full Text

Copyright © 2013 HealthDay. All rights reserved.

Further Reading
Medical patients sometimes hear what we say skeptically, but Americans in general will believe any darn thing.
Bristol-Myers Squibb announced today the US Food and Drug Administration (FDA), had granted approval for Evotaz tablets in combination with other antiretroviral agents for an innovative treatment option for adults suffering from HIV-1 infection – delivering proven suppression through 48 weeks.
Researchers have found that menopause typically begins 2 to 4 years earlier in women with high levels of certain chemicals found in household items, personal care products, plastics, and the environment, compared to women with lower levels of the chemicals. The study was published online Jan. 28 in PLOS ONE.
More Reading