Epidural analgesia vs systemic analgesia: Myocardial infarction (0 to 30 days)
- Population
- adult cardiac surgical patients
- Intervention
- Epidural analgesia
- Comparison
- systemic analgesia
- Outcome
- Myocardial infarction (0 to 30 days)
Epidural analgesia showed no clear difference in myocardial infarction (0 to 30 days) compared with systemic analgesia (low certainty).
What each review found
Current versions only| Finding | Effect | Studies | GRADE certainty |
|---|---|---|---|
Epidural analgesia vs systemic analgesia Myocardial infarction (0 to 30 days) · adults undergoing cardiac surgery with or without cardiopulmonary bypass Epidural analgesia showed no clear difference in myocardial infarction (0 to 30 days) compared with systemic analgesia (low certainty). Epidural analgesia for adults undergoing cardiac surgery with or without cardiopulmonary bypass (2019) · Cochrane Headline outcomes only | no estimate extracted | 26 studies · 2713 participants | Low |
Findings are shown side by side, never pooled across reviews.
The reviews
| Review | Searched up to | Included studies | AMSTAR 2 |
|---|---|---|---|
| Epidural analgesia for adults undergoing cardiac surgery with or without cardiopulmonary bypass 2019 · Cochrane Headline outcomes only | Not reported | Not extracted | Not assessed |
Related questions
The same intervention and outcome, asked in another population or against another comparator.
- Epidural analgesia vs intrapleural analgesia · adults undergoing cardiac surgery without cardiopulmonary bypass · 1 review
- Epidural analgesia vs peripheral nerve blocks · adults undergoing cardiac surgery without cardiopulmonary bypass · 1 review
- Epidural analgesia vs wound infiltration · adults undergoing cardiac surgery without cardiopulmonary bypass · 1 review
How reviews are matched to this question
Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.