[Continuous epidural anesthesia in children under 1 year of age].
Thirty one epidural analgesias were performed in 23 ASA 1 or 2 infants ranged in age from 2 days to 1 year for orthopedic operation; 20 G needles were used for epidural puncture (25 with Potts-Cournand needles, 6 with Tuohy needles). A mixture of 0.5 mg.kg-1 0.5% bupivacaine, 0.5 mg.kg-1 1% etidocaine and 0.05 mg.kg-1 of morphine was administered. The same anesthetic mixture (without morphine) was injected by a catheter during the first 30 hours after the procedure to provide post-operative analgesia. Adequate, complete sensory blockade was obtained in every case (mean level T6). Five accidental dural punctures occurred with Potts-Cournand needles, none were observed with Tuohy needles. Hemodynamic and respiratory parameters did not show significant variations.
Bazin
J E
JE
Département d'anesthésie-réanimation, Centre hospitalier régional et universitaire Clermont-Ferrand.
Dalens
B
B
Joyon
D
D
Bouetard
E
E
Schoeffler
P
P
D015360:Analgesia, Epidural; D000767:Anesthesia, Epidural / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D002045:Bupivacaine; D004338:Drug Combinations; D005041:Etidocaine; D006801:Humans; D007223:Infant; D009020:Morphine; D011184:Postoperative Period
D004338:Drug Combinations; D009020:Morphine; D005041:Etidocaine; D002045:Bupivacaine
Anesthésie péridurale continue chez l'enfant de moins de un an.