title: A long-term continuous infusion via a sciatic catheter in a 3-year-old boy.
abstract: We describe the case of a 3-year-old boy with a subtotal amputation of the right foot who received treatment for pain via a peripheral catheter positioned at the level of the sciatic nerve (lateral approach).We administered a continuous infusion of 0.2% ropivacaine, 0.4 mg x kg(-1) x h(-1) plus clonidine 0.12 microg x kg(-1) x h(-1) for 21 days. Pain relief was complete and the patient did not require any further rescue analgesia throughout the period even during medications and surgical treatment in our intensive care unit. We discuss the safety and efficacy of the use of a peripheral continuous infusion in children compared with other techniques of analgesia.
authors.affiliation: Department of Anaesthesiology and Intensive Care Regina Margherita Children's Hospital, Turin, Italy. gioivani@libero.it
authors.forename: Giorgio
authors.initials: G
authors.lastname: Ivani
authors.forename: Luigi
authors.initials: L
authors.lastname: Codipietro
authors.forename: Ferdinando
authors.initials: F
authors.lastname: Gagliardi
authors.forename: Franca
authors.initials: F
authors.lastname: Rosso
authors.forename: Valeria
authors.initials: V
authors.lastname: Mossetti
authors.forename: Pasquale
authors.initials: P
authors.lastname: Vitale
mesh_terms: D000577:Amides / Q000008:administration & dosage*; D000700:Analgesics / Q000008:administration & dosage; D000779:Anesthetics, Local / Q000008:administration & dosage; D002408:Catheters, Indwelling; D002675:Child, Preschool; D003000:Clonidine / Q000008:administration & dosage*; D005528:Foot / Q000601:surgery; D006801:Humans; D007260:Infusion Pumps; D008134:Long-Term Care / Q000379:methods; D008297:Male; D009407:Nerve Block / Q000379:methods; D010147:Pain Measurement; D010149:Postoperative Pain / Q000517:prevention & control*; D000077212:Ropivacaine; D012584:Sciatic Nerve
chemical_list: D000577:Amides; D000700:Analgesics; D000779:Anesthetics, Local; D000077212:Ropivacaine; D003000:Clonidine