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19 lip 2016 · Epidurals provide optimal analgesia whilst avoiding opioid-related side effects, with studies demonstrating fewer episodes of hypoxaemia or respiratory depression and a reduced need for postoperative ventilation and intensive care (3).
In this article we present a series of 4 cases of longterm or permanent neurologic complications associated with epidural analgesia. Possible mechanisms of injury and implications for practice are discussed.
Epidural analgesia offers numerous benefits in the pediatric surgical patient. It is commonly used to augment general anesthesia and to manage postoperative pain (for 48–72 h) with minimal hemodynamic alteration. The latter stems from low resting sympathetic tone and reduced blood in lower extremities in children. [1] .
Effective postoperative pain relief from epidural analgesia has numerous benefits including earlier ambulation, facilitating weaning from ventilators, reducing time spent in a catabolic state, and lowering circulating stress hormone levels.
Epidural analgesia is useful as part of a multimodal approach to acute and chronic pain management in children. The single S+-isomers, ropivacaine and levobupivacaine, are the drugs of choice in paediatric practice.
This leaflet aims to provide information for parents of children who may benefit from an epidural for pain relief after surgery. The information in this leaflet will be discussed with you by an anaesthetist, or a member of the pain team.
1 kwi 2006 · With proper patient selection, based on a careful risk/benefit analysis, epidural analgesia is extremely effective in children. The block chosen should be tailored to the anticipated postoperative pain, surgical procedure and the child's underlying condition.
