Document Detail


Continuous epidural analgesia in newborn infants undergoing major surgery.
MedLine Citation:
PMID:  8483068     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Providing safe, effective analgesia for newborn infants undergoing major surgery remains a challenge to pediatric anesthetists and surgeons. Continuous epidural analgesia (CEA) has been shown to provide safe and effective analgesia in infants and children; however, there is little reported use in neonates. We review our experience of CEA in 14 newborn infants (32 to 40 weeks gestation) aged 4 hours to 35 days undergoing major surgery, as well as a further 6 ex-preterm (25 to 29 weeks gestation) infants aged 2 to 5 months at time of surgery. In all cases effective analgesia was achieved for up to 69 hours without complication. All infants were awake and extubated uneventfully at the completion of surgery, which lasted 5 hours in one case. None of the infants developed respiratory depression or prolonged apnea. The technique has been widely accepted by surgeons, neonatal nursing staff, and neonatologists.
Authors:
D Murrell; P R Gibson; R C Cohen
Related Documents :
17058548 - Anaesthesia-related maternal mortality.
3394738 - Anesthesia-related maternal mortality in michigan, 1972 to 1984.
443778 - As to the influence of climate on head form.
16903768 - Experience with remifentanil in neonates and infants.
12607478 - Serum gamma-glutamyl transpeptidase activity and bile acids in normal taiwanese infants.
20603218 - Dissociation of processing of featural and spatiotemporal information in the infant cor...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  28     ISSN:  0022-3468     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  1993 Apr 
Date Detail:
Created Date:  1993-06-03     Completed Date:  1993-06-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  548-52; discussion 552-3     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia, Westmead Hospital, NSW, Australia.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Analgesia, Epidural* / adverse effects
Bupivacaine
Fentanyl
Humans
Infant, Newborn
Intraoperative Care
Pain Measurement
Postoperative Care
Surgical Procedures, Operative*
Chemical
Reg. No./Substance:
2180-92-9/Bupivacaine; 437-38-7/Fentanyl

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Halothane as an anesthetic for fetal surgery.
Next Document:  Epidural fentanyl infusion with patient-controlled epidural analgesia for postoperative analgesia in...