Parent-assisted or nurse-assisted epidural analgesia: Is this feasible in pediatric patients?

Paediatric Anaesthesia

Volumn 19, Issue 11, 2009, Pages 1084-1089

  Birmingham, Patrick K ^a,b   Suresh, Santhanam ^a   Ambrosy, Andrew ^a   Porfyris, Suzanne ^a  

^a NORTHWESTERN UNIVERSITY   (United States)

^b NONE   (United States)

Author keywords

Analgesia; Epidural; Nurse assisted; Parent assisted; Pediatric

Indexed keywords

BUPIVACAINE; FENTANYL;

ADJUVANT THERAPY; ADOLESCENT; ADULT; ARTICLE; CHILD; CLINICAL EFFECTIVENESS; CONTINUOUS INFUSION; CONTROLLED STUDY; EPIDURAL ANESTHESIA; EPIDURAL CATHETER; HUMAN; INFANT; MAJOR CLINICAL STUDY; NAUSEA AND VOMITING; NURSE ASSISTED EPIDURAL ANALGESIA; PARENT ASSISTED EPIDURAL ANALGESIA; PATIENT CONTROLLED ANALGESIA; PATIENT SATISFACTION; PEDIATRIC ANESTHESIA; PEDIATRIC SURGERY; POSTOPERATIVE ANALGESIA; POSTOPERATIVE PAIN; PRESCHOOL CHILD; PRIORITY JOURNAL; PRURITUS; RESPIRATION DEPRESSION; SCHOOL CHILD; SEDATION; SEIZURE; SIDE EFFECT; SURGICAL PATIENT;

ADOLESCENT; ANALGESIA, EPIDURAL; ANALGESIA, PATIENT-CONTROLLED; CHILD; CHILD, PRESCHOOL; CLINICAL PROTOCOLS; COHORT STUDIES; FEASIBILITY STUDIES; HUMANS; INFANT; INJECTIONS, INTRAVENOUS; LONGITUDINAL STUDIES; PAIN MEASUREMENT; PAIN, POSTOPERATIVE; PARENTS; TREATMENT OUTCOME;

EID: 70350552003     PISSN: 11555645     EISSN: 14609592     Source Type: Journal    
DOI: 10.1111/j.1460-9592.2009.03151.x     Document Type: Article

References (11)

1. Monitto CL, Greenberg RS, Kost-Byerly S et al. The safety and efficacy of parent-/nurse-controlled analgesia in patients less than six years of age. Anesth Analg 2000 91 : 573 579.
2. Birmingham PK, Wheeler M, Suresh S et al. Patient-controlled epidural analgesia in children: can they do it? Anesth Analg 2003 96 : 686 691.
3. Berde CB. Convulsions associated with pediatric regional anesthesia. Anesth Analg 1992 75 : 164 166.
4. Maxwell LG, Kaufmann SC, Bitzer S et al. The effects of a small-dose naloxone infusion on opioid-induced side effects and analgesia in children and adolescents treated with intravenous patient-controlled analgesia: a double-blind, prospective, randomized, controlled study. Anesth Analg 2005 100 : 953 958.
5. Boudreault D, Brasseur L, Samii K et al. Comparison of continuous epidural bupivacaine infusion plus either continuous epidural infusion or patient-controlled epidural injection of fentanyl for postoperative analgesia. Anesth Analg 1991 73 : 132 137.
6. Wu CL, Cohen SR, Richman JM et al. Efficacy of postoperative patient-controlled and continuous infusion epidural analgesia versus intravenous patient-controlled analgesia with opioids: a meta-analysis. Anesthesiology 2005 103 : 1079 1088.
7. Bernards CM, Hadzic A, Suresh S et al. Regional anesthesia in anesthetized or heavily sedated patients. Reg Anesth Pain Med 2008 33 : 449 460.
8. Neal JM, Bernards CM, Hadzic A et al. ASRA practice advisory on neurologic complications in regional anesthesia and pain medicine. Reg Anesth Pain Med 2008 33 : 404 415.
9. Krane EJ, Dalens BJ, Murat I et al. The safety of epidurals placed during general anesthesia. Reg Anesth Pain Med 1998 23 : 433 438. (Pubitemid 28457416)
10. Goobie SM, Montgomery CJ, Basu R et al. Confirmation of direct epidural catheter placement using nerve stimulation in pediatric anesthesia. Anesth Analg 2003 97 : 984 988.
11. Willschke H, Bosenberg A, Marhofer P et al. Epidural catheter placement in neonates: sonoanatomy and feasibility of ultrasonographic guidance in term and preterm neonates. Reg Anesth Pain Med 2007 32 : 34 40.