[High thoracic epidural analgesia in the postoperative period after correction of congenital heart defects in children].
The effects and side effects of thoracic epidural analgesia on the respiratory response, awakening time, and cooperation with nurses were studied. Forty children received epidural analgesia after open-heart surgery. Lidocaine was injected in a dose of 1.5-2 mg/kg every 1.5-2 h. Controls (16 pts) received intravenous fentanyl + diazepam analgesia. Respiratory response and awakening were significantly earlier (p < 0.001) in the epidural group. Cooperation with nurses was much better in this group, too. No side effects were observed in the epidural group. Therefore, thoracic epidural analgesia is a safe and effective method of postoperative analgesia for children subjected to open-heart surgery.
Slin'ko
S K
SK
D000293:Adolescent; D015360:Analgesia, Epidural / Q000379:methods*; D000701:Analgesics, Opioid / Q000008:administration & dosage; D000769:Anesthesia, Inhalation; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D000779:Anesthetics, Local / Q000008:administration & dosage; D002648:Child; D002675:Child, Preschool; D003975:Diazepam / Q000008:administration & dosage; D005283:Fentanyl / Q000008:administration & dosage; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage; D007223:Infant; D008012:Lidocaine / Q000008:administration & dosage; D010149:Postoperative Pain / Q000628:therapy*
D000701:Analgesics, Opioid; D018686:Anesthetics, Intravenous; D000779:Anesthetics, Local; D006993:Hypnotics and Sedatives; D008012:Lidocaine; D003975:Diazepam; D005283:Fentanyl
Vysokaia grudnaia épidural'naia analgeziia v posleoperatsionnom periode pri korrektsii vrozhdennykh porokov serdtsa u deteĭ.