Modifying infant stress responses to major surgery: Spinal vs extradural vs opioid analgesia

Paediatric Anaesthesia

Volumn 8, Issue 4, 1998, Pages 305-311

  Wolf, Andrew R ^a   Doyle, Eddie ^b   Thomas, Eric ^c  

^a BRISTOL ROYAL HOSPITAL FOR CHILDREN   (United Kingdom)

^b ROYAL HOSPITAL FOR SICK CHILDREN   (United Kingdom)

^c LANCASTER GENERAL HOSPITAL   (United States)

Author keywords

Analgesic techniques; Spinal; Stress response

Indexed keywords

ADRENALIN; FENTANYL; GLUCOSE; NORADRENALIN; OPIATE;

ABDOMINAL SURGERY; ADRENALIN BLOOD LEVEL; ARTICLE; BLOOD PRESSURE; CARDIOVASCULAR EFFECT; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED STUDY; EPIDURAL ANESTHESIA; GLUCOSE BLOOD LEVEL; HEART RATE; HUMAN; INFANT; NORADRENALIN BLOOD LEVEL; PEDIATRIC ANESTHESIA; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SPINAL ANESTHESIA; STRESS; THORAX SURGERY;

ABDOMEN; ANALGESIA; ANALGESIA, EPIDURAL; ANALGESICS, OPIOID; ANESTHESIA, GENERAL; ANESTHETICS, LOCAL; BUPIVACAINE; CHILD, PRESCHOOL; FENTANYL; HUMANS; INFANT; STRESS; THORACIC SURGICAL PROCEDURES;

EID: 0031837041     PISSN: 11555645     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1460-9592.1998.00239.x     Document Type: Article

References (23)

1. Dupont D, Velin P, Cabour F et al. Influence del'anesthesie caudale sur la secretion des catecholamines chez l'enfant. Ann Franc d'Anesth Reani 1987; 6: 156-158.
2. Murat I, Walker J, Esteve C et al. Effects of lumbar epidural anaesthesia on plasma Cortisol levels in children. Can J Anaesth 1988; 35: 20-24.
3. Wolf AR, Eyres RL, Laussen PC et al. Effect of epidural anaesthesia on the stress responses to abdominal surgery in infants. B J Anaesth 1993; 70: 654-660.
4. Anand KJS, Hickey PR. Halothane-morphine compared with high dose sufentanil for anesthesia and postoperative analgesia in neonatal cardiac surgery. New Engl J Medicine 1992; 326: 1-9.
5. Webster J, Barnard M, Carli F. Metabolic response to colonic surgery: extradural vs continuous spinal. Br J Anaesth 1991; 67: 467-469.
6. Kehlet H. Modification of response to surgery by neural blockade: clinical implications. In: Cousins MJ, Bridenbaugh PO, eds. Neural Blockade, Philadelphia: J.B. Lippincott Company, 1988; 2nd edn, 145-188.
7. Peutrell JM, Hughes DG. Combined spinal and epidural anaesthesia for inguinal hernia repair in babies. Paediatr Anaesth 1994; 4: 221-227.
8. Gallagher TM, Crean PM. Spinal anaesthesia in infants born prematurely. Anaesthesia. 1989; 44: 434-436.
9. Oberlander TF, Berde CB, Lam KH et al. Infants tolerate spinal anesthesia with minimal overall autonomic changes: analysis of heart rate variability in former premature infants undergoing hernia repair. Anesth Analg 1995; 80: 20-27.
10. Salzman SK, Sellers MS, Beckman AL et al. Determination of intraoperative plasma catecholamine concentrations using liquid chromatography with electrochemical detection. J Chromat 1985; 343: 285-301.
11. Altman DG. Statistics and ethics in medical research 3. How large a sample? BM J 1980; 281: 1336-1338.
12. Hannallah RS, Broadman LM, Belman AB et al. Comparison of caudal and ilioinguinal/iliohypogastric nerve blocks for control of post-orchidopexy pain in pediatric ambulatory surgery. Anesthesiology 1987; 66: 832-834.
13. Dohi S, Naito H, Takahashi T. Age related changes in blood pressure and duration of motor block in spinal anesthesia. Anesthesiology 1979; 50: 319-323.
14. Hanna BD, Stark AR, Cohen AR, Cohen RJ et al. Transfer function analysis of respiratory sinus arrhythmia: developmental effects in premature infants. Circulation 1990; 82: 111-334.
15. Biaise GA, Roy WL. Spinal anaesthesia for minor paediatric surgery. Can Anaesth Soc J 1986; 33: 227-230.
16. Naito Y, Tamai S, Shingu K et al. Responses of plasma adrenocorticotrophic hormone, Cortisol, and cytokines during and after upper abdominal surgery. Anesthesiology 1992; 77: 426-431.
17. Bengtsson M. Changes in skin blood flow and temperature during spinal analgesia evaluated by laser doppler flowmetry and infrared thermography. Acta Anaesthesiol Scand 1984; 28: 625-629.
18. Lofstrom JB, Malmquist L-A, Bengisson M. Can the 'sympathogalvanic reflex' (skin conductance response) be used to evaluate the height of the sympathetic block in spinal analgesia? Acta Anaesthesiol Scand 1984; 28: 598-561.
19. Brown MJ, Jenner DA. Novel double isotope technique for enzymatic assay of catecholamines, permitting high precision, sensitivity and plasma sample capacity. Clin Sci 1981; 61: 591-598.
20. Welborn LG, McGill WA, Hannallah RS et al. Perioperative blood glucose concentrations in pediatric outpatients. Anesthesiology 1986; 65: 543-547.
21. Nilson K, Larsson L, Andreasson et al. Blood-glucose concentration during anaesthesia in children. Br J Anaesth 1984; 56: 375-378.
22. Bush GH, Steward DJ. Can persistent cerebral damage be caused by hyperglycaemia? Paediat Anaesth 1995; 5: 385-387.
23. Williams RK, Abajian JC. High spinal anaesthesia for repair of patent ductus arteriosus in neonates. Paediat Anaesth 1997; 7: 205-209.