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Continuous epidural analgesia, a new prospect in analgesia of newborns.
- Source :
-
Bratislavske lekarske listy [Bratisl Lek Listy] 2015; Vol. 116 (9), pp. 571-3. - Publication Year :
- 2015
-
Abstract
- The popularity of continuous caudal epidural block in post-operative analgesia in very young children has been growing. This method of analgesia is used in major abdominal and urological surgeries. A local anaesthetic, usually levobupivacaine, is administered through an epidural catheter introduced via hiatus canalis sacralis. The usual type of the catheter is Arrow G20 armed with a metal spiral, which can be used for children of up to approximately 2000 g of body weight. We want to introduce a modification of the method which uses the thin silicone catheter Premicath G28. This catheter allows for the administration of caudal epidural analgesia even in premature children of approximately 500 g of body weight. This solution eliminates adverse effects of systemic opioid analgesia, accelerates surgical wound healing and disconnection from ventilation system, and improves the potential of enteral nutrition. Depth and quality of analgesia in very young children are monitored using a complex scheme called Comfort Neo Scale (Tab. 1, Fig. 2, Ref. 7).
- Subjects :
- Amputation, Surgical
Analgesia, Epidural instrumentation
Bupivacaine administration & dosage
Catheters
Humans
Infant, Extremely Low Birth Weight
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Levobupivacaine
Lower Extremity surgery
Male
Analgesia, Epidural methods
Analgesics, Opioid therapeutic use
Anesthetics, Local administration & dosage
Bupivacaine analogs & derivatives
Enterocolitis, Necrotizing surgery
Necrosis surgery
Pain, Postoperative drug therapy
Subjects
Details
- Language :
- English
- ISSN :
- 0006-9248
- Volume :
- 116
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Bratislavske lekarske listy
- Publication Type :
- Academic Journal
- Accession number :
- 26435023
- Full Text :
- https://doi.org/10.4149/bll_2015_104