Continuous lumbar/thoracic epidural analgesia in low-weight paediatric surgical patients: Practical aspects and pitfalls

Pediatric Surgery International

Volumn 25, Issue 7, 2009, Pages 623-634

  Shenkman, Ze'Ev ^a,d   Hoppenstein, David ^b,d   Erez, Ilan ^b,d   Dolfin, Tzipora ^b,d   Freud, Enrique ^c,d  

^a SHEBA MEDICAL CENTER   (Israel)

^b MEIR MEDICAL CENTER   (Israel)

^c SCHNEIDER CHILDREN S MEDICAL CENTER OF ISRAEL   (Israel)

^d TEL AVIV UNIVERSITY   (Israel)

Author keywords

Anaesthesia; Infants; Local anaesthetics; Low weight

Indexed keywords

ANTIBIOTIC AGENT;

ABDOMINAL SURGERY; APNEA; ARTICLE; ATELECTASIS; BACTERIAL MENINGITIS; BRADYCARDIA; CLINICAL ARTICLE; CONGENITAL MALFORMATION; CONTINUOUS EPIDURAL ANESTHESIA; CONTROLLED STUDY; DISEASE ASSOCIATION; ENDOTRACHEAL INTUBATION; EXTUBATION; HEMODYNAMICS; HUMAN; HYPOXEMIA; INJECTION SITE ERYTHEMA; INTRAVASCULAR CATHETER; MENINGITIS; NECROTIZING ENTEROCOLITIS; OXYGEN SUPPLY; PEDIATRIC ANESTHESIA; PEDIATRIC SURGERY; PERIOPERATIVE PERIOD; PEROPERATIVE COMPLICATION; PHYSIOTHERAPY; PNEUMOTHORAX; POSTOPERATIVE COMPLICATION; PREMATURITY; PRIORITY JOURNAL; RECTUM SURGERY; TACTILE STIMULATION; THORAX EPIDURAL ANESTHESIA; THORAX SURGERY; TRACHEA SURGERY;

ABDOMEN; ANAL CANAL; ANALGESIA, EPIDURAL; ANESTHETICS, LOCAL; BLOOD PRESSURE; BUPIVACAINE; HEART RATE; HUMANS; INFANT; INFANT, LOW BIRTH WEIGHT; INFANT, NEWBORN; INFANT, VERY LOW BIRTH WEIGHT; INTRAOPERATIVE COMPLICATIONS; INTUBATION, INTRATRACHEAL; MONITORING, PHYSIOLOGIC; POSTOPERATIVE COMPLICATIONS; PROSPECTIVE STUDIES; RECTUM; RESPIRATION; SURGICAL PROCEDURES, OPERATIVE; THORACIC SURGICAL PROCEDURES;

EID: 67650756475     PISSN: 01790358     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00383-009-2386-y     Document Type: Article

References (52)

1. KJS Anand PR Hickey 1992 Halothane-morphine compared with high-dose sufentanyl for anesthesia and postoperative analgesia in neonatal cardiac surgery N Engl J Med 326 1 9
2. HP Duncan A Cloote PM Weir 2000 Reducing stress response in the pre-bypass phase of open heart surgery in infants and young children: a comparison of different fentanyl dosages Br J Anaesth 84 556 564 (Pubitemid 30229594)
3. GB Hammer 1999 Regional anesthesia for pediatric cardiac surgery J Cardiothorac Vasc Anesth 13 210 213 10.1016/S1053-0770(99)90091-5
4. I Murat J Walker C Esteve 1988 Effect of lumbar epidural anaesthesia on plasma cortisol levels in children Can J Anaesth 35 20 24 (Pubitemid 18048293)
5. AR Wolf RL Eyes PC Lauren 1993 Effect of extra-dural analgesia on stress-responses to abdominal surgery in infants Br J Anaesth 70 654 660 10.1093/bja/70.6.654 (Pubitemid 23169060)
6. F Carli D Halliday 1997 Continuous epidural blockade arrests the postoperative decrease in muscle protein fractional synthesis rate in surgical patients Anesthesiology 86 1033 1040 10.1097/00000542-199705000-00005 (Pubitemid 27208899)
7. D Murrell PR Gibson RC Cohen 1993 Continuous epidural analgesia in newborn infants undergoing major surgery J Pediatr Surg 28 548 553 10.1016/0022-3468(93)90614-Q (Pubitemid 23127621)
8. AT Bosenberg GP Hadley R Wiersma 1992 Oesophageal atresia: caudo-thoracic epidural anaesthesia reduces the need for post-operative ventilatory support Pediatr Surg Int 7 289 291 10.1007/BF00183983
9. S Kost-Byerly JR Tobin RS Greenberg 1998 Bacterial colonization and infection rate of continuous epidural catheters in children Anesth Analg 86 712 716 10.1097/00000539-199804000-00007
10. M Tanaka T Nishikawa 1998 Simulation of an epidural test dose with intravenous epinephrine in sevoflurane-anesthetized children Anesth Analg 86 952 957 10.1097/00000539-199805000-00007
11. SA Kozek-Langenecker P Marhofer K Jonas 2000 Cardiovascular criteria for epidural test dosing in sevoflurane- and halothane-anesthetized children Anesth Analg 90 579 583 10.1097/00000539-200003000-00016 (Pubitemid 30117516)
12. NF Sethna L Sullivan A Retic 2000 Efficacy of simulated epinephrine-containing epidural test dose after intravenous atropine during isoflurane anesthesia in children Reg Anesth Pain Med 25 566 572 10.1053/rapm.2000.9538
13. C Berde 1994 Epidural analgesia in children Can J Anaesth 41 555 560
14. NF Sethna CB Berde 2002
15. CC Johnston BJ Stevens 1996 Experience in a neonatal intensive care unit affects pain response Pediatrics 98 925 930 (Pubitemid 26398777)
16. LJ Duhn JM Medves 2004 A systematic review of infant pain assessment tools Adv Neonatal Care 4 126 140 10.1016/j.adnc.2004.04.005
17. Z Shenkman R Regev D Hoppenstein 2004 Lumbar epidural anesthesia in a very-low-birth-weight infant-a report of a case and review of the literature Harefuah 143 639 642 (in Hebrew)
18. JK McNeely NE Farber LM Rusy 1997 Epidural analgesia improves outcome following pediatric fundoplication Reg Anesth 22 16 23 10.1016/S1098-7339(06) 80051-9
19. LJ Cass RF Howard 1994 Respiratory complications due to inadequate analgesia following thoracotomy in a neonate Anaesthesia 49 879 880 10.1111/j.1365-2044.1994.tb04264.x
20. M Meignier R Souron J-C Le Neel 1983 Postoperative dorsal epidural analgesia in the child with respiratory disabilities Anesthesiology 59 473 475 10.1097/00000542-198311000-00023 (Pubitemid 14227527)
21. I Murat MM Delleur C Esteve 1987 Continuous extradural anaesthesia in children Br J Anaesth 69 1441 1450 10.1093/bja/59.11.1441
22. O Raux A Rochette E Morau 2004 The effects of spread of block and adrenaline on cardiac output after epidural anesthesia in young children: a randomized, double-blind, prospective study Anesth Analg 98 948 955 10.1213/01.ANE.0000108133.63310.AF (Pubitemid 38405400)
23. DA Markakis 2000 Regional anesthesia in pediatrics Anesthesiol Clin North America 18 355 381 10.1016/S0889-8537(05)70168-1 (Review) (Pubitemid 30429074)
24. DA Rowney E Doyle 1998 Epidural and subarachnoid blockade in children Anaesthesia 53 980 1001 10.1046/j.1365-2044.1998.00527.x Review
25. PR Bromage JL Benumof 1998 Paraplegia following intracord injection during attempted epidural anesthesia under general anesthesia Reg Anesth Pain Med 23 104 107 10.1016/S1098-7339(98)90120-1
26. D Blanco J Llamazares R Rincon 1996 Thoracic epidural anesthesia via the lumbar approach in infants and children Anesthesiology 84 1312 1316 10.1097/00000542-199606000-00006
27. A Valairucha C Seefelder CS Houck 2002 Thoracic epidural catheters placed by the caudal route in infants: the importance of radiographic confirmation Paediatr Anaesth 12 424 428 10.1046/j.1460-9592.2002.00884.x
28. J Van Niekerk BMJ Bax-Vermeire JWM Geurts 1990 Epidurography in premature infants Anesthesia 45 722 725 10.1111/j.1365-2044.1990.tb14438.x (Pubitemid 20314708)
29. B Tsui R Seal J Koller 2002 Thoracic epidural catheter placement via the caudal approach in infants by using electrocardiographic guidance Anesth Analg 95 326 330 10.1097/00000539-200208000-00016 (Pubitemid 34793095)
30. NF Sethna CB Berde 1993 Venous embolism during identification of the epidural space in children Anesth Analg 76 925 927 10.1213/00000539-199305000- 00001 (Editorial) (Pubitemid 23139437)
31. BA Larsson PA Lonnqvist GL Olsson 1997 Plasma concentrations of bupivacaine in neonates after continuous epidural infusion Anesth Analg 84 501 505 10.1097/00000539-199703000-00006
32. J-P Guinard M Borboen 1993 Probable venous air embolism during caudal anesthesia in a child Anesth Analg 76 1134 1135 10.1213/00000539-199305000-00036 (Pubitemid 23139472)
33. N Schwartz JB Eisenkraft 1993 Probable venous air embolism during epidural placement in an infant Anesth Analg 76 1136 1138 (Pubitemid 23139473)
34. TM Kennedy DA Ullman FA Harte 1988 Lumbar root compression secondary to epidural air Anesth Analg 67 1184 1186 10.1213/00000539-198812000-00015 (Pubitemid 19015590)
35. R Miguel S Morse R Murtagh 1991 Epidural air associated with multiradicular syndrome Anesth Analg 73 92 94 10.1213/00000539-199107000-00018
36. Y Katz R Markovitts B Rosenberg 1990 Pneumoencephalos after inadvertent intrathecal air injection during epidural block Anesthesiology 73 1277 1279
37. T Okutomi S Hoka 1998 Epidural saline solution prior to local anaesthetic produces differential nerve block Can J Anaesth 45 1091 1093 (Pubitemid 128472150)
38. B Dalens Y Chrysostome 1991 Intervertebral epidural anaesthesia in paediatric surgery: success rate and adverse effects in 650 consecutive procedures Paediatr Anaesth 1 101 117
39. 1-acid glycoprotein and the binding of lidocaine in pediatric patients Clin Pharmacol Ther 46 219 225 (Pubitemid 19219959)
40. Berde C (1992) Convulsions associated with pediatric regional anesthesia. Anesth Analg 75:164-166 (Editorial). doi: 10.1213/00000539-199208000-00002
41. AC Webster JD McKishnie JT Watson 1993 Lumbar epidural anaesthesia for inguinal hernia repair in low birth weight infants Can J Anaesth 40 670 675 (Pubitemid 24214449)
42. CE Wood GV Goresky KA Klassen 1994 Complications of continuous epidural infusions for postoperative analgesia in children Can J Anaesth 41 613 620 (Pubitemid 24251811)
43. C Seefelder 2002 The caudal catheter in neonates: where are the restrictions? Curr Opin Anaesthesiol 15 343 348 10.1097/00001503-200206000-00011
44. C Breschan R Krumphholz R Jost 2001 Intraspinal haematoma following lumbar epidural anaesthesia in a neonate Paediatr Anaesth 11 105 108 10.1046/j.1460-9592.2001.00593.x
45. MA Strafford RT Wilder CB Berde 1995 The risk of infection from epidural analgesia in children: a review of 1620 cases Anesth Analg 80 234 238 10.1097/00000539-199502000-00006
46. Flandin-Blety G Barrier 1995 Accidents following extradural analgesia in children. The results of a retrospective study Paediatr Anaesth 5 41 46 10.1111/j.1460-9592.1995.tb00239.x
47. E Giaufre B Dalens A Gombert 1996 Epidemiology and morbidity of regional anesthesia in children: a one-year prospective survey of the French-Language society of pediatric anesthesiologists Anesth Analg 83 904 912 10.1097/00000539-199611000-00003
48. CJ Cote A Zaslavski JJ Downes 1995 Postoperative apnea in former-preterm infants after inguinal herniorrhaphy. A combined analysis Anesthesiology 82 809 822 10.1097/00000542-199504000-00002
49. V Lakshmi K Vinay M Madhusudhan 2003 Spread of radioopaque dye in the epidural space in infants Paediatr Anaesth 13 233 243 10.1046/j.1460-9592.2003. 00988.x
50. D Darchy X Forceville E Bavoux 1996 Clinical and bacteriologic survey of epidural analgesia in patients in the intensive care unit Anesthesiol 85 988 998 (Pubitemid 26378282)
51. SJ Dawson 2001 Epidural catheter infections J Hosp Infect 47 3 8 10.1053/jhin.2000.0872 (a review)
52. O De Tommaso A Caporuscio V Tagariello 2002 Neurological complications following central neuraxial blocks: are there predictive factors? Eur J Anaesthesiol 19 705 716 10.1017/S0265021502001163