Epidural Analgesia Versus Systemic Opioids for Postoperative Pain Management After VATS: A Systematic Review and Meta‐Analysis

J. Holm,Mikkel Bak,A. C. Brøchner

Published 2025 in Acta Anaesthesiologica Scandinavica

ABSTRACT

Firm consensus on the best perioperative pain management after Video‐Assisted Thoracic Surgery (VATS) is lacking. Recommendations often assess different loco‐regional techniques as part of a multimodal approach, but few discuss omitting regional analgesia altogether, eliminating any risk of procedural complications. A reasonable prerequisite for this approach would be that the alternative provides comparable pain relief. To compare the efficacy of systemic opioids and epidural analgesia for postoperative pain management, we conducted a systematic review and meta‐analysis of current studies.

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