[High epidural anesthesia in the correction of congenital heart defects with artificial circulation in children].
Effects of high thoracic epidural anesthesia (TEA) on hemodynamics were studied in patients undergoing cardiopulmonary bypass (CPB) surgery. In 7 patients aged 3-7 years, TEA was used as an adjunct to standard oxygen-air-isoflurane anesthesia. We prefer using a combination of lidocaine with fentanyl for epidural anesthesia. Usually we take a loading dose of 4.5 mg/kg of lidocaine and 1 microgram/kg of fentanyl, which is followed after 40-50 min by 3.5 mg/kg lidocaine and 1 microgram/kg fentanyl. TEA ensures good pain relief and hemodynamic stability and can be accepted as a safe and effective anesthetic technique in combination with inhalation anesthesia in children subjected to CPB.
Slin'ko
S K
SK
Kurek
V V
VV
Kulagin
A E
AE
Galershteĭn
E M
EM
D000767:Anesthesia, Epidural / Q000379:methods*; D000769:Anesthesia, Inhalation / Q000379:methods; D019162:Anesthetics, Combined; D002648:Child; D002675:Child, Preschool; D005069:Evaluation Studies as Topic; D005112:Extracorporeal Circulation; D006330:Heart Defects, Congenital / Q000503:physiopathology / Q000601:surgery*; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D011229:Preanesthetic Medication
D019162:Anesthetics, Combined