title: The lumbosacral epidural block: a modified Taylor approach for abdominal urologic surgery in children.
abstract: We describe the lumbosacral epidural approach in 97 children undergoing abdominal urologic surgical procedures. Due to the rudimentary spinous process of the first sacral vertebra and the less prominent sacral angle, an appropriate upward inclination of the Tuohy needle in the midline is always possible in infants and small children. A catheter was easily inserted in every case and the technique was shown to be useful and safe for providing adequate intraoperative and postoperative pain control.
authors.affiliation: Department of Anaesthesia and Intensive Care, A Meyer Children's Hospital, Florence, Italy.
authors.forename: P
authors.initials: P
authors.lastname: Busoni
authors.forename: A
authors.initials: A
authors.lastname: Messeri
authors.forename: A
authors.initials: A
authors.lastname: Sarti
mesh_terms: D000293:Adolescent; D015360:Analgesia, Epidural; D000767:Anesthesia, Epidural / Q000295:instrumentation / Q000379:methods*; D002404:Catheterization / Q000295:instrumentation; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D007682:Kidney Pelvis / Q000601:surgery*; D008161:Lumbosacral Region; D008619:Mepivacaine / Q000008:administration & dosage; D009020:Morphine / Q000008:administration & dosage; D009339:Needles; D009392:Nephrectomy; D009407:Nerve Block / Q000295:instrumentation / Q000379:methods*; D013997:Time Factors; D014513:Ureter / Q000601:surgery*
chemical_list: D009020:Morphine; D008619:Mepivacaine