title: How do I do it: Continuous local anesthetic infusion for children with spinal dysraphism undergoing major reconstruction of the lower urinary tract.
abstract: Postoperative pain control is a fundamental aspect of contemporary pediatric surgery. While many options for analgesia are available to the general patient population, choices are limited for individuals with spinal dysraphism who undergo major urologic procedures. Continuous infusion of local anesthetics has been shown to improve postoperative pain scores and decreases the need for systemic analgesia. We present our technique for continuous local anesthetic infusion utilizing readily available equipment with limited additional cost.
authors.affiliation: Children's Hospital Colorado, Department of Urology, 13123 E. 16th Ave., Aurora, CO 80045, USA. Electronic address: trevor.wild@ucdenver.edu.
authors.forename: T T
authors.initials: TT
authors.lastname: Wild
authors.affiliation: Children's Hospital Colorado, Department of Urology, 13123 E. 16th Ave., Aurora, CO 80045, USA.
authors.forename: D J
authors.initials: DJ
authors.lastname: Chalmers
authors.affiliation: Children's Hospital Colorado, Department of Anesthesia, 13123 E. 16th Ave., Aurora, CO 80045, USA.
authors.forename: A
authors.initials: A
authors.lastname: Bielsky
authors.affiliation: Children's Hospital Colorado, Department of Urology, 13123 E. 16th Ave., Aurora, CO 80045, USA.
authors.forename: D T
authors.initials: DT
authors.lastname: Wilcox
mesh_terms: D000779:Anesthetics, Local / Q000008:administration & dosage; D002404:Catheterization / Q000379:methods; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007260:Infusion Pumps; D059411:Lower Urinary Tract Symptoms / Q000209:etiology / Q000601:surgery*; D008297:Male; D059408:Pain Management / Q000379:methods; D010147:Pain Measurement; D010149:Postoperative Pain / Q000517:prevention & control*; D011182:Postoperative Care / Q000379:methods; D019651:Plastic Surgery Procedures / Q000009:adverse effects* / Q000379:methods; D016135:Spinal Dysraphism / Q000150:complications* / Q000175:diagnosis / Q000601:surgery
chemical_list: D000779:Anesthetics, Local
keywords: Continuous infusion of local anesthetic; Cost effectiveness; Postoperative pain