Major complications related to epidural analgesia in children: A 15-year audit of 3,152 epidurals

Canadian Journal of Anesthesia

Volumn 60, Issue 4, 2013, Pages 355-363

  Wong, Gail K ^a   Arab, Abeer A ^a   Chew, Sue C ^a   Naser, Basem ^a   Crawford, Mark W ^a  

^a HOSPITAL FOR SICK CHILDREN   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ANESTHETIC AGENT;

AGE; ANESTHESIA COMPLICATION; ANESTHESIA INDUCTION; ARTICLE; CHILD; DISEASE SEVERITY; EPIDURAL ANESTHESIA; HUMAN; INCIDENCE; INFANT; LONGITUDINAL STUDY; MAJOR CLINICAL STUDY; MEDICAL AUDIT; MEDICATION ERROR; NEWBORN; PEDIATRIC HOSPITAL; PRESCHOOL CHILD; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SCHOOL CHILD; SKIN INFECTION; TERTIARY HEALTH CARE; TREATMENT OUTCOME;

AGE FACTORS; ANALGESIA, EPIDURAL; CHILD; CHILD, PRESCHOOL; HOSPITALS, PEDIATRIC; HUMANS; INCIDENCE; INFANT; INFANT, NEWBORN; MEDICATION ERRORS; RETROSPECTIVE STUDIES; SEVERITY OF ILLNESS INDEX; SKIN DISEASES, INFECTIOUS; THORACIC VERTEBRAE;

EID: 84876683890     PISSN: 0832610X     EISSN: 14968975     Source Type: Journal    
DOI: 10.1007/s12630-012-9877-3     Document Type: Article

References (35)

1. McNeely JK, Farber NE, Rusy LM, Hoffman GM. Epidural analgesia improves outcome following pediatric fundoplication. A retrospective analysis. Reg Anesth 1997; 22: 16-23.
2. Ivani G, Conio A, Papurel G, Ciliberto F, Vitale P. 1,000 consecutive blocks in a children's hospital: how to manage them safely. Reg Anesth Pain Med 2001; 26: 93-4. (Pubitemid 32062372)
3. Dalens B, Tanguy A, Haberer JP. Lumbar epidural anesthesia for operative and postoperative pain relief in infants and young children. Anesth Analg 1986; 65: 1069-73. (Pubitemid 16031315)
4. Ecoffey C, Dubousset AM, Samii K. Lumbar and thoracic epidural anesthesia for urologic and upper abdominal surgery in infants and children. Anesthesiology 1986; 65: 87-90. (Pubitemid 16098101)
5. Goldman LJ. Complications in regional anaesthesia. Paediatr Anaesth 1995; 5: 3-9.
6. Brull R, McCartney CJ, Chan VW, El-Beheiry H. Neurological complications after regional anesthesia: contemporary estimates of risk. Anesth Analg 2007; 104: 965-74. (Pubitemid 46548330)
7. Dahlgren N, Tornebrandt K. Neurological complications after anaesthesia. A follow-up of 18,000 spinal and epidural anaesthetics performed over three years. Acta Anaesthesiol Scand 1995; 39: 872-80.
8. Moen V, Dahlgren N, Irestedt L. Severe neurological complications after central neuraxial blockades in Sweden 1990-1999. Anesthesiology 2004; 101: 950-9. (Pubitemid 39288046)
9. Moen V, Irestedt L, Dahlgren N. Major complications of central neuraxial block: the Third National Audit Project: some comments and questions. Br J Anaesth 2009; 103: 130-1; author reply 131-2.
10. Paech MJ, Godkin R, Webster S. Complications of obstetric epidural analgesia and anaesthesia: a prospective analysis of 10,995 cases. Int J Obstet Anesth 1998; 7: 5-11. (Pubitemid 28045428)
11. Horlocker TT, Abel MD, Messick JM Jr, Schroeder DR. Small risk of serious neurologic complications related to lumbar epidural catheter placement in anesthetized patients. Anesth Analg 2003; 96: 1547-52. (Pubitemid 36623104)
12. Faccenda KA, Finucane BT. Complications of regional anaesthesia incidence and prevention. Drug Saf 2001; 24: 413-42. (Pubitemid 32458078)
13. Rodgers A, Walker N, Schug S, et al. Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials. BMJ 2000; 321: 1493.
14. Wood CE, Goresky GV, Klassen KA, Kuwahara B, Neil SG. Complications of continuous epidural infusions for postoperative analgesia in children. Can J Anaesth 1994; 41: 613-20. (Pubitemid 24251811)
15. Murrell D, Gibson PR, Cohen RC. Continuous epidural analgesia in newborn infants undergoing major surgery. J Pediatr Surg 1993; 28: 548-52; discussion 552-3.
16. Hasan MA, Howard RF, Lloyd-Thomas AR. Depth of epidural space in children. Anaesthesia 1994; 49: 1085-7.
17. Flandin-Blety C, Barrier G. Accidents following extradural analgesia in children. The results of a retrospective study. Paediatr Anaesth 1995; 5: 41-6.
18. Giaufre E, Dalens B, Gombert A. Epidemiology and morbidity of regional anesthesia in children: a one-year prospective survey of the French-Language Society of Pediatric Anesthesiologists. Anesth Analg 1996; 83: 904-12. (Pubitemid 26365398)
19. Llewellyn N, Moriarty A. The national pediatric epidural audit. Paediatr Anaesth 2007; 17: 520-33. (Pubitemid 46718193)
20. Polaner DM, Taenzer AH, Walker BJ, et al. Pediatric Regional Anesthesia Network (PRAN): a multi-institutional study of the use and incidence of complications of pediatric regional anesthesia. Anesth Analg 2012; 115: 1353-64.
21. Wong GK, Joo DT, McDonnell C. Lipid resuscitation in a carnitine deficient child following intravascular migration of an epidural catheter. Anaesthesia 2010; 65: 192-5.
22. Kost-Byerly S, Tobin JR, Greenberg RS, Billett C, Zahurak M, Yaster M. Bacterial colonization and infection rate of continuous epidural catheters in children. Anesth Analg 1998; 86: 712-6. (Pubitemid 28177719)
23. McNeely JK, Trentadue NC, Rusy LM, Farber NE. Culture of bacteria from lumbar and caudal epidural catheters used for postoperative analgesia in children. Reg Anesth 1997; 22: 428-31. (Pubitemid 27421998)
24. Sethna NF, Clendenin D, Athiraman U, Solodiuk J, Rodriguez DP, Zurakowski D. Incidence of epidural catheter-Associated infections after continuous epidural analgesia in children. Anesthesiology 2010; 113: 224-32.
25. Cameron CM, Scott DA, McDonald WM, Davies MJ. A review of neuraxial epidural morbidity experience of more than 8,000 cases at a single teaching hospital. Anesthesiology 2007; 106: 997-1002. (Pubitemid 46684067)
26. Aldrete JA, Williams SK. Infections from extended epidural catheterization in ambulatory patients. Reg Anesth Pain Med 1998; 23: 491-5. (Pubitemid 28457426)
27. Kostopanagiotou G, Kyroudi S, Panidis D, et al. Epidural catheter colonization is not associated with infection. Surg Infect (Larchmt) 2002; 3: 359-65. (Pubitemid 36305411)
28. Mimoz O, Pieroni L, Lawrence C, et al. Prospective, randomized trial of two antiseptic solutions for prevention of central venous or arterial catheter colonization and infection in intensive care unit patients. Crit Care Med 1996; 24: 1818-23. (Pubitemid 26382924)
29. Parienti JJ, du Cheyron D, Ramakers M, et al. Alcoholic povidone-iodine to prevent central venous catheter colonization: a randomized unit-crossover study. Crit Care Med 2004; 32: 708-13. (Pubitemid 38340067)
30. Mimoz O, Villeminey S, Ragot S, et al. Chlorhexidine-based antiseptic solution vs alcohol-based povidone-iodine for central venous catheter care. Arch Intern Med 2007; 167: 2066-72. (Pubitemid 350036705)
31. Kinirons B, Mimoz O, Lafendi L, Naas T, Meunier J, Nordmann P. Chlorhexidine versus povidone iodine in preventing colonization of continuous epidural catheters in children: a randomized, controlled trial. Anesthesiology 2001; 94: 239-44. (Pubitemid 32125912)
32. Kasuda H, Fukuda H, Togashi H, Hotta K, Hirai Y, Hayashi M. Skin disinfection before epidural catheterization: comparative study of povidone-iodine versus chlorhexidine ethanol. Dermatology 2002; 204(Suppl 1): 42-6. (Pubitemid 34518736)
33. 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. (Pubitemid 44969599)
34. Tsui B. Innovative approaches to neuraxial blockade in children: the introduction of epidural nerve root stimulation and ultrasound guidance for epidural catheter placement. Pain Res Manag 2006; 11: 173-80. (Pubitemid 44383421)
35. Tsui BC, Usher A, Kulkarni PR, Scott SL. Thoracic epidural catheters via the caudal and lumbar approaches using styletted multiple port catheters in pediatric patients: a report of three cases. Acta Anaesthesiol Scand 2006; 50: 514-7.