Outcomes after single injection caudal epidural versus continuous infusion epidural via caudal approach for postoperative analgesia in infants and children undergoing patent ductus arteriosus ligation

Summary Adequate postoperative analgesia enhances deep breathing and minimizes respiratory complications after thoracotomy. This study compares postoperative outcomes after single injection caudal epidural vs continuous infusion epidural via caudal approach for postoperative analgesia in infants and...

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Bibliographic Details
Published in:Pediatric anesthesia 1999-03, Vol.9 (2), p.139-143
Main Authors: LIN, YUAN-CHI, SENTIVANY-COLLINS, SANDRA K., PETERSON, KRISTI L., BOLTZ, M. GAIL, KRANE, ELLIOT J.
Format: Article
Language:English
Subjects:
Analgesia, Epidural - methods
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Bupivacaine - administration & dosage
Child, Preschool
Ductus Arteriosus, Patent - surgery
Humans
Infant
Infusion Pumps
Injections, Epidural
Length of Stay
Local anesthesia. Pain (treatment)
Medical sciences
Pain, Postoperative - therapy
Postoperative Nausea and Vomiting
Retrospective Studies
Thoracotomy
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Summary:Summary Adequate postoperative analgesia enhances deep breathing and minimizes respiratory complications after thoracotomy. This study compares postoperative outcomes after single injection caudal epidural vs continuous infusion epidural via caudal approach for postoperative analgesia in infants and children undergoing thoracotomy for patent ductus arteriosus (PDA) ligation. A retrospective chart review was performed for 27 children who had undergone PDA ligation. The children were divided into three groups. We compared patient demographics, surgical duration, anaesthesia duration, length of ICU stay, incidence of emesis requiring treatment, time required to establish regular oral intake, requirement for supplemental intravenous opioids during the first postoperative day, and length of hospital stay. For paediatric patients undergoing PDA ligation, postoperative analgesia with continuous infusion epidural via caudal approach produced shorter ICU stay, less occurrence of postoperative emesis, earlier oral intake, elimination of intravenous opioid supplementation, and shorter hospital stay compared with single injection caudal epidural techniques.
ISSN:1155-5645
1460-9592
DOI:10.1046/j.1460-9592.1999.9220313.x