Korean journal of anesthesiology
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Korean J Anesthesiol · Oct 2021
Meta AnalysisContinuous peripheral nerve blocks (CPNBs) compared to thoracic epidurals or multimodal analgesia for midline laparotomy: a systematic review and meta-analysis.
Continuous peripheral nerve blocks (CPNBs) have been investigated to control pain for abdominal surgery via midline laparotomy while avoiding the adverse events of opioid or epidural analgesia. The review compiles the evidence comparing CPNBs to multimodal and epidural analgesia. ⋯ CPNBs should be considered a viable alternative to epidural analgesia when contraindications to epidural placement exist for patients undergoing midline laparotomies.