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Papers of the Week


2022 May 20


Reg Anesth Pain Med

Association between thoracic epidural block and major complications after pleurectomy/decortication for malignant pleural mesothelioma under general anesthesia.

Authors

Onoe K, Ogata H, Okamoto T, Okutani H, Ueki R, Kariya N, Tatara T, Hashimoto M, Hasegawa S, Matsuki Y, Hirose M
Reg Anesth Pain Med. 2022 May 20.
PMID: 35618297.

Abstract

A curative-intent surgical procedure, pleurectomy/decortication, for malignant pleural mesothelioma is accompanied by a high incidence of major postoperative complications. Although epidural block, which suppresses nociception during and after surgery, reportedly has both benefits and disadvantages in terms of outcomes after thoracic surgery for other diseases, the effects of epidural block on major complications after pleurectomy/decortication have not been evaluated. The aim of this study was to evaluate the association between epidural block and major postoperative complications following pleurectomy/decortication.