Postoperative nerve irritation syndrome after epidural analgesia in a six-year-old child.
Morbidity after paediatric epidural anaesthesia is unusual. We report a case of transient nerve root irritation occurring after epidural analgesia for radical nephrectomy in a 6-yr-old boy who received a continuous infusion of bupivacaine 0.1%. The epidural catheter was inserted within the L2-L3 interspace under general anaesthesia. Several possible causes are discussed. Mechanical irritation of nerve roots by the epidural catheter in the epidural space is the most likely cause. Br J Anaesth 2004: 92: 146-8
Zeidan
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A
Department of Anaesthesiology, Sahel General Hospital, Beirut, Lebanon. doczeidan@hotmail.com
Narchi
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P
Goujard
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E
Benhamou
D
D
D015746:Abdominal Pain / Q000209:etiology; D015360:Analgesia, Epidural / Q000009:adverse effects*; D002648:Child; D006801:Humans; D008297:Male; D010149:Postoperative Pain / Q000209:etiology*; D013126:Spinal Nerve Roots / Q000293:injuries*