A long-term continuous infusion via a sciatic catheter in a 3-year-old boy.
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.
Ivani
Giorgio
G
Department of Anaesthesiology and Intensive Care Regina Margherita Children's Hospital, Turin, Italy. gioivani@libero.it
Codipietro
Luigi
L
Gagliardi
Ferdinando
F
Rosso
Franca
F
Mossetti
Valeria
V
Vitale
Pasquale
P
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
D000577:Amides; D000700:Analgesics; D000779:Anesthetics, Local; D000077212:Ropivacaine; D003000:Clonidine