{
  "abstract": "Background and Aims Postoperative pain control following any surgical procedure is very crucial, and it is associated with increased patient satisfaction and improved pulmonary function. Parenteral opioids not only decrease the colonic motility and increases chances of postoperative ileus [9]. Multimodal analgesia is the fundamental component of enhanced recovery after surgery. A randomized controlled trial was done that shows reduced perioperative morbidity and mortality with neuraxial techniques, when compared with other analgesic techniquesMethods Non-probability consecutive sampling technique was used to collect the data. After the Approval to conduct this audit was obtained from ethical committee of the hospital (can be presented on request), data was collected from Surgical Epidural Registers of Anaesthesia department. All the calculations were done manually and then put in Microsoft Word Document.Results A total of 308 surgical epidurals were inserted over the period of three years in our institute. Orthopaedic procedures constitute 125 (40.6%), 41 (13.31%) for thoracic surgery procedures, 36 (11.7%) for general surgery procedures, 25 (8.11%) for hepatobiliary procedures and 14 (4.54%) for urology procedures and 12 (3.89%) for Gynaecological procedures. Level of insertion is as per recommended guidelines in 200 patient out of 308. Bupivacaine is the most commonly used drug, while 0.1% concentration is generally preferred in our setup. Among the adjuvants, fentanyl, dexmedetomidine and tramadol were used. Overall complications rate is 40(12.98%), with motor blockade being the most common, followed by nausea/vomiting, hypotension, dural tap and blood tap.Conclusions This audit will help us in rectifying the loop holes in the surgical epidural analgesia services provided by our department, but also other epidural analgesia services providers to make changes in their practices for better outcomes in future.",
  "authors": [
    {
      "affiliations": [
        "Anaesthesia Trainee, Doctors Hospital and Medical Centre, Lahore, Pakistan, Lahore, Pakistan"
      ],
      "name": "Sami Ur Rehman"
    },
    {
      "affiliations": [
        "Department of Anesthesia, Doctors Hospital and Medical Centre, Lahore, Lahore, Pakistan"
      ],
      "name": "Muhammad Malik"
    }
  ],
  "title": "EP046 Adherence to practice guidelines for postoperative epidural analgesia: a retrospective clinical audit",
  "uid": "d957a1da-37db-5842-a1a7-865b025840bf"
}