[Thoracic epidural analgesia for a thrombocytopenic child].
Per- and postoperative analgesia of patients with chronic pain is a challenging issue for anaesthetists and can be achieved with locoregional anaesthesia, unless it is contraindicated. We report the case of a thrombocytopenic child presenting for thoracotomy and in whom intravenous analgesia failed after previous surgeries. Due to the central origin of the thrombocytopenia, thoracic epidural analgesia could be achieved, after platelet transfusions. When clinical advantage of thoracic epidural is unquestionable, central thrombocytopenia is a relative contraindication.
Roullet
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S
Département d'anesthésie-réanimation-IV, hôpital Pellegrin-Enfants, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France.
Lavrand
F
F
Français
S
S
Bordes
M
M
Semjen
F
F
D000293:Adolescent; D015360:Analgesia, Epidural; D006801:Humans; D008297:Male; D013908:Thoracotomy / Q000009:adverse effects*; D013909:Thorax; D013921:Thrombocytopenia / Q000209:etiology / Q000628:therapy*