Some vagaries of neonatal lumbar epidural anaesthesia.
Paediatr Anaesth
; 9(3): 217-23, 1999.
Article
em En
| MEDLINE
| ID: mdl-10320600
ABSTRACT
Regional anaesthesia and analgesia offer unique advantages of reduction in general anaesthesia requirements and the demands on NICU resources while improving the general outcome. We assessed the feasibility of continuous lumbar epidural analgesia in 20 neonates for various major surgical procedures lasting from 60-260 min. The babies were aged 18 h to 34 days. They were born at a gestational age of 31-40 weeks. We had difficulty in passing the epidural catheter from the lumbar route in two patients, so we had to resort to the caudal route. The problems associated with the placement of the catheter from the lumbar route are discussed. The analgesia was provided for up to 72 h. Nineteen of the babies could be extubated in the operating theatre. They were awake but comfortable at the time of extubation. There were no complications due to the technique. Subsequent to this study, epidural analgesia either by lumbar or caudal route has become the routine in our hospital for all major thoraco-abdominal surgical procedures in neonates.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Recém-Nascido
/
Analgesia Epidural
/
Anestesia Epidural
Limite:
Female
/
Humans
/
Infant
/
Male
Idioma:
En
Revista:
Paediatr Anaesth
Assunto da revista:
ANESTESIOLOGIA
/
PEDIATRIA
Ano de publicação:
1999
Tipo de documento:
Article
País de afiliação:
Índia