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Quality of Life and Postoperative Anesthesia in Gastrointestinal Surgery

  • R. Kennelly
  • A. M. Hogan
  • J. F. Boylan
  • D. C. Winter
Reference work entry

Abstract:

Gastrointestinal surgery impacts considerably on quality of life particularly in the post operative period. The magnitude of this effect is governed by the systemic response to surgery and minimally invasive techniques have allowed for considerable advances in this area. Traditionally, the role of the anaesthetist was limited to pain control. Adequate analgesia is essential for rapid rehabilitation after surgery and is a major factor contributing to patient satisfaction. However,  anesthesia may have a further influence by favorably modulating the systemic response, expediting recovery and improving quality of life.

Various anesthetic regimens have been utilized in gastrointestinal surgery. Intraspinal techniques have shown promising results in comparison with more conventional intravenous analgesics but evidence of improved outcome is scarce.

Multimodal post operative care has an undoubted positive impact on patient outcome however the influence of the anesthetic component is difficult to ascertain. Some recent trials have indicated that epidural anesthetic techniques improve QOL in the post operative period when compared to more traditional anesthetic techniques. While these results are encouraging, further clinical trials are needed assessing impact of anesthesia on quality of life before recommendations can be made.

Keywords

Epidural Analgesia Gastrointestinal Surgery Patient Control Analgesia Good Pain Relief Post Operative Analgesia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

List of Abbreviations:

CEI

continuous epidural infusion

CGQL

Cleveland global quality of life questionnaire

GI

gastrointestinal

IV

intravenous

MASTER

Multicentred Australian Study of Epidural Anesthesia

NSAID

 non-steroidal anti-inflammatory drugs

PCA

patient controlled analgesia

PCEA

patient controlled epidural analgesia

QOL

quality of life

RCT

randomized controlled trial

SF 8

Short form 8 questionnaire

SF 36

Short form 36 questionnaire

VAS

visual analogue scale

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Copyright information

© Springer Science+Business Media LLC 2010

Authors and Affiliations

  • R. Kennelly
    • 1
  • A. M. Hogan
    • 1
  • J. F. Boylan
    • 1
  • D. C. Winter
    • 1
  1. 1.Institute for Clinical Outcomes Research and Education (iCORE)St. Vincent’s University HospitalDublin 4Ireland

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