Continuous epidural anaesthesia for major abdominal surgery in young children.

Abstract:

:The benefits of epidural anaesthesia combined with general anaesthesia were studied in young children scheduled for major abdominal surgical procedure (pull-through for Hirschsprung's disease). Two groups of nine children were studied receiving, respectively, general anaesthesia or general anaesthesia plus epidural anaesthesia. In the group receiving both general and regional anaesthesia, a polyurethane 24 G catheter was inserted via a Tuohy needle 19 G into the lumbar epidural space after induction of anaesthesia and intubation and bupivacaine, 0.25%, was injected epidurally (mean initial volume 0.71 +/- 0.04 ml kg-1). No opiates were needed during operation on the children in this group. After epidural anaesthesia, heart rate decreased significantly but systolic blood pressure remained unchanged. During surgery mean values of both heart rate and systolic blood pressure were significantly lower in the regional analgesia group compared to the general anaesthesia group. The need for blood replacement was also significantly lower, whereas pre- and post-operative haematocrit values were not significantly different. Administration of fluid and electrolytes during operation was also similar in both groups. A combination of epidural and general anaesthesia avoids the use of opiates during surgery, provides excellent per- and post-operative analgesia, allows a rapid and safe recovery, and facilitates the nursing of young children.

journal_name

Eur J Anaesthesiol

authors

Murat I,Delleur MM,Levy J,Esteve C,Saint-Maurice C

subject

Has Abstract

pub_date

1987-09-01 00:00:00

pages

327-35

issue

5

eissn

0265-0215

issn

1365-2346

journal_volume

4

pub_type

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