Patient-controlled regional analgesia is effective in children: a preliminary report

To report a preliminary analysis of prospectively recorded data in 27 children in whom patient-controlled regional analgesia (PCRA) was used for postoperative pain control following lower limb surgery. Under general anesthesia, perineural catheters (popliteal and fascia iliaca compartment block) wer...

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Bibliographic Details
Published in:Canadian journal of anesthesia 2004-11, Vol.51 (9), p.928-930
Main Authors: DUFLO, Frédéric, QAMOUSS, Youssef, BERARD, Jérome, CHASSARD, Dominique, REMOND, Charlotte, POUYAU, Agnès, HEILPORN, Armand, TAYLOR, Patricia, PATUREL, Brigitte, COMBET, Sylvie, BOSELLI, Emmanuel, CHOTEL, Franck
Format: Article
Language:English
Subjects:
Adolescent
Amides - administration & dosage
Analgesia, Patient-Controlled
Analgesics - therapeutic use
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anesthetics, Local - administration & dosage
Biological and medical sciences
Child
Child, Preschool
Female
Humans
Lower Extremity - innervation
Lower Extremity - surgery
Male
Medical sciences
Motor Neurons - drug effects
Nerve Block - methods
Pain management
Pain Measurement
Pain, Postoperative - prevention & control
Peroneal Nerve
Prospective Studies
Sciatic Nerve
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Summary:To report a preliminary analysis of prospectively recorded data in 27 children in whom patient-controlled regional analgesia (PCRA) was used for postoperative pain control following lower limb surgery. Under general anesthesia, perineural catheters (popliteal and fascia iliaca compartment block) were inserted and infused with ropivacaine 0.2% (0.02 mL.kg(-1).hr(-1)). Additional demand doses were left to the child's discretion (0.1 mL.kg(-1)and a 30-min lockout interval). The average total dose of ropivacaine administered was 4.9 +/- 2 mg.kg(-1)over 48 hr. Visual analogue scale and Children's Hospital of Eastern Ontario Pain Scale scores were always inferior to 5/10 and 6/13, respectively. Motor block was observed in two children and two children needed rescue analgesia. Our preliminary observations indicate that PCRA in children provides satisfactory postoperative pain relief following lower limb surgery.
ISSN:0832-610X
1496-8975
DOI:10.1007/BF03018893