Document Detail


Continuous regional anaesthesia in infants.
MedLine Citation:
PMID:  8269568     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Physiological immaturity of the respiratory musculature and central respiratory control centres leads to an increased risk of apnoea and respiratory complications following general anaesthesia in neonates. Regional anaesthetic techniques may obviate the need for general anaesthesia and lessen the risks of perioperative morbidity. Although these techniques have been described in infants, previous reports have dealt with single-shot techniques for brief surgical procedures (< 60 min). Experience with prolonged operative cases using regional anaesthesia via indwelling catheters in infants is limited. We present our experience with four infants in whom either caudal epidural or spinal anaesthesia was administered via indwelling catheters for operative procedures that lasted 90 to 180 min. We believe this technique is an alternative to general anaesthesia in these patients.
Authors:
J D Tobias; S Lowe; N O'Dell; J B Pietsch; W W Neblett
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian journal of anaesthesia = Journal canadien d'anesthésie     Volume:  40     ISSN:  0832-610X     ISO Abbreviation:  Can J Anaesth     Publication Date:  1993 Nov 
Date Detail:
Created Date:  1994-01-31     Completed Date:  1994-01-31     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8701709     Medline TA:  Can J Anaesth     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  1065-8     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Vanderbilt University, Nashville, Tennessee 37232.
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MeSH Terms
Descriptor/Qualifier:
Anesthesia, Caudal* / instrumentation,  methods
Anesthesia, Spinal* / instrumentation,  methods
Anesthetics, Local / administration & dosage
Bronchopulmonary Dysplasia / physiopathology
Bupivacaine / administration & dosage
Catheters, Indwelling
Circumcision, Male
Hernia, Inguinal / surgery
Hernia, Umbilical / surgery
Humans
Infant
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases / physiopathology
Male
Monitoring, Intraoperative
Procaine / administration & dosage,  analogs & derivatives
Chemical
Reg. No./Substance:
0/Anesthetics, Local; 133-16-4/chloroprocaine; 2180-92-9/Bupivacaine; 59-46-1/Procaine

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