A comparison of epidural bupivacaine-fentanyl and bupivacaine-clonidine in children undergoing the nuss procedure

Anesthesia and Analgesia

Volumn 103, Issue 2, 2006, Pages 322-327

  Cucchiaro, Giovanni ^a   Adzick, Scott N ^a   Rose, John B ^a   Maxwell, Lynne ^a   Watcha, Mehernoor ^a  

^a CHILDREN S HOSPITAL OF PHILADELPHIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

BUPIVACAINE; CLONIDINE; DESFLURANE; DIPHENHYDRAMINE; EPHEDRINE; FENTANYL; MIDAZOLAM; NALBUPHINE; ONDANSETRON; PROPOFOL; VECURONIUM;

ADOLESCENT; ADULT; ANALGESIA; ANESTHESIA INDUCTION; ARTICLE; CHILD; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DRUG EFFICACY; DRUG SAFETY; EPIDURAL ANESTHESIA; FEMALE; HUMAN; HYPOTENSION; MALE; NUSS PROCEDURE; PATIENT CONTROLLED ANALGESIA; POSTOPERATIVE ANALGESIA; PRIORITY JOURNAL; PRURITUS; RANDOMIZED CONTROLLED TRIAL; SEDATION; SURGICAL TECHNIQUE; VISUAL ANALOG SCALE; VOMITING;

EID: 33746535595     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/01.ane.0000221047.68114.ad     Document Type: Article

References (25)

1. Bailey PL, Sperry RJ, Johnson GK, et al. Respiratory effects of clonidine alone and combined with morphine, in humans. Anesthesiology 1991;74:43-8.
2. Claes B, Soetens M, Van Zundert A, Datta S. Clonidine added to bupivacaine-epinephrine-sufentanil improves epidural analgesia during childbirth. Reg Anesth Pain Med 1998;23:540-7.
3. Cucchiaro G, Dagher C, Baujard C, et al. Side effects of postoperative epidural analgesia in children: a randomized study comparing morphine and clonidine. Paediatr Anaesth 2003;13:318-23.
4. DeKock M, Wiederkher P, Laghmiche A, Scholtes JL. Epidural clonidine used as the sole analgesic agent during and after abdominal surgery: a dose-response study. Anesthesiology 1997;86:285-92.
5. Curatolo M, Schnider TW, Petersen-Felix S, et al. A direct search procedure to optimize combinations of epidural bupivacaine, fentanyl, and clonidine for postoperative analgesia. Anesthesiology 2000;92:325-37.
6. DeNegri P, Ivani G, Visconti C, et al. The dose-response relationship for clonidine added to a postoperative continuous epidural infusion of ropivacaine in children. Anesth Analg 2001;93:71-6.
7. Kizilarslan S, Kuvaki B, Onat U, Sagiroglu E. Epidural fentanyl-bupivacaine compared with clonidine-bupivacaine for analgesia in labour. Eur J Anaesthesiol 2000;17:692-7.
8. Rockemann MG, Seeling W, Brinkmann A, et al. Analgesic and hemodynamic effects of epidural clonidine, clonidine/morphine and morphine after pancreatic surgery: a double-blind study. Anesth Analg 1995;80:869-74.
9. Cooper DW, Turner G. Patient-controlled extradural analgesia to compare bupivacaine, fentanyl and bupivacaine with fentanyl in the treatment of postoperative pain. Br J Anaesth 1993;70:503-7.
10. Gedney JA, Liu EHC. Side effects of epidural infusions of opioid bupivacaine mixtures. Anaesthesia 1998;53:1148-55.
11. Ozalp G, Guner F, Kuru N, Kadiogullari N. Postoperative patient-controlled epidural analgesia with opioid bupivacaine mixtures. Can J Anaesth 1998;45:938-42.
12. Nuss D, Kelly RE Jr., Croitoru DP, Katz ME. A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg 1998;33:545-52.
13. Sjostrom S, Blass J. Postoperative analgesia with epidural bupivacaine and low-dose fentanyl: a comparison of two concentrations. Acta Anaesthesiol Scand 1998;42:776-82.
14. Paech MJ, Pavy TJ, Orlikowski CE, et al. Postoperative epidural infusion: a randomized, double-blind, dose-finding trial of clonidine in combination with bupivacaine and fentanyl. Anesth Analg 1997;84:1323-8.
15. DeKock M, Gautier P, Pavlopoulou A, et al. Epidural clonidine or bupivacaine as the sole analgesic agent during and after abdominal surgery: a comparative study. Anesthesiology 1999;90:1354-62.
16. Ravitch MM. Operation for correction of pectus excavatum. Surg Gynecol Obstet 1958;106:619-22.
17. Eberhart LH, Morin AM, Wulf H, Geldner G. Patient preferences for immediate postoperative recovery. Br J Anaesth 2002;89:760-1.
18. Gan T, Sloan F, Dear GL, et al. How much are patients willing to pay to avoid postoperative nausea and vomiting? Anesth Analg 2001;92:393-400.
19. Macario A, Weinger M, Truong P, Lee M. Which clinical anesthesia outcomes are both common and important to avoid: the perspective of a panel of expert anesthesiologists. Anesth Analg 1999;88:1085-91.
20. Cucchiaro G, Farrar JT, Guite JW, Li Y. What postoperative outcomes matter to pediatric patients? Anesth Analg 2006;102:1376-82.
21. Chassard D, Mathon L, Dailler F, et al. Extradural clonidine combined with sufentanil and 0.0625% bupivacaine for analgesia in labour. Br J Anaesth 1996;77:458-62.
22. Roelants F, Lavand'homme PM, Mercier-Fuzier V. Epidural administration of neostigmine and clonidine to induce labor analgesia: evaluation of efficacy and local anesthetic-sparing effect. Anesthesiology 2005;102:1205-10.
23. Klamt JG, Garcia LV, Stocche RM, Meinberg AC. Epidural infusion of clonidine or clonidine plus ropivacaine for postoperative analgesia in children undergoing major abdominal surgery. J Clin Anesth 2003;15:510-4.
24. Eisenach JC, DuPen S, Dubois M, et al. Epidural clonidine analgesia for intractable cancer pain. The Epidural Clonidine Study Group. Pain 1995;61:391-9.
25. Dobrydnjov I, Axelsson K, Gupta A, et al. Improved analgesia with clonidine when added to local anesthetic during combined spinal-epidural anesthesia for hip arthroplasty: a double blind, randomized and placebo-controlled study. Acta Anaesthesiol Scan 2005;49:538-15.