[Caudal epidural anesthesia in children operated on in the area of the lumbosacral segments].
Analgesia of children operated on the lumbosacral segments is discussed. Balanced total anesthesia was used with caudal epidural blocking by a combination of alpha 2-agonist clofelin, local amide anesthetic bupivacaine, and narcotic analgesic promedol. Injection of a combination of clofelin (0.01% solution) in a dose of 1 microgram/kg, standard dose of 0.25% bupivacaine solution with adrenaline (1:200,000) in a dose of 0.3 ml/kg, and promedol in a dose of 0.2 mg/kg into the epidural space via the caudal approach in the presence of superficial anesthesia with halothane (0.2-0.4 vol/%), nitrogen oxide and oxygen in 2:1 ratio ensured adequate analgesia and effective neurovegetative protection both during the operation and the first 25 h after it.
Geodakian
O S
OS
Tsypin
L E
LE
Lukin
G I
GI
D000293:Adolescent; D000316:Adrenergic alpha-Agonists; D000701:Analgesics, Opioid; D000763:Anesthesia, Caudal / Q000379:methods*; D019162:Anesthetics, Combined; D000779:Anesthetics, Local; D002045:Bupivacaine; D002648:Child; D002675:Child, Preschool; D003000:Clonidine; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D008161:Lumbosacral Region; D011184:Postoperative Period; D011396:Promedol; D013514:Surgical Procedures, Operative / Q000379:methods*
D000316:Adrenergic alpha-Agonists; D000701:Analgesics, Opioid; D019162:Anesthetics, Combined; D000779:Anesthetics, Local; D011396:Promedol; D003000:Clonidine; D002045:Bupivacaine