1. Lumbar Epidural versus Caudal Epidural for Postoperative Analgesia After Lower Extremity Osteotomy Surgery in Pediatric Patients with Osteogenesis Imperfecta: A Propensity-Matched Cohort Analysis in a Single-Center Over 9 Years
- Author
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Mu,Jingjing, Xiong,Shiyi, Yang,Guixiang, Wang,Fengfeng, Li,Xuanying, Gao,Qiong, Niu,Qiang, Wong,Stanley, Xu,Xuebing, Chan,Yauwai, Li,Yalan, Mu,Jingjing, Xiong,Shiyi, Yang,Guixiang, Wang,Fengfeng, Li,Xuanying, Gao,Qiong, Niu,Qiang, Wong,Stanley, Xu,Xuebing, Chan,Yauwai, and Li,Yalan
- Abstract
Jingjing Mu,1,2,* Shiyi Xiong,2,* Guixiang Yang,2 Fengfeng Wang,3 Xuanying Li,2 Qiong Gao,2 Qiang Niu,2 Stanley Sau Ching Wong,3 Xuebing Xu,2 Yauwai Chan,2,* Yalan Li1,* 1Department of Anesthesiology, the First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, 510630, Peopleâs Republic of China; 2Department of Anaesthesiology, the University of Hong Kong Shenzhen Hospital, Shenzhen, Peopleâs Republic of China; 3Department of Anaesthesiology, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, the University of Hong Kong, Hong Kong*These authors contributed equally to this workCorrespondence: Yalan Li, Department of Anesthesiology, the First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, 510630, Peopleâs Republic of China, Tel +8613500013993, Email tyalan@jnu.edu.cn Yauwai Chan, Department of Anesthesiology, the University of Hong Kong Shenzhen Hospital, Shenzhen, Peopleâs Republic of China, Tel +86 150 0204 8972, Email cywz01@hku.hkPurpose: Although pediatric epidural analgesia is a well-established technique used perioperatively. It is unclear whether a lumbar or caudal epidural is suitable for osteogenesis imperfecta (OI) patients, which may be associated with brittle bones and spine deformity. We conducted a retrospective study to investigate and compare the efficacy of the two continuous epidural techniques in pediatric patients undergoing lower extremity osteotomy surgery using a propensity score-matched analysis (PSMA).Patients and Methods: A total of 274 patients were included. Patientsâ age, weight, and height were adjusted using PSMA. 90 patients were matched for further analysis, with 45 patients in the lumbar epidural group (Group L) and 45 patients in the caudal epidural group (Group C). Pain scores were categorized into three grades: mild (0â 3), moderate (4â 6), and severe (7â 10), and compared between the two groups. Additionally, operation time, operation s
- Published
- 2024