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[Trans-sacral extradural anesthesia in pediatrics].

Cahiers D'Anesthesiologie

|January 1, 1992

Summary

This summary is machine-generated.

This study evaluated 1,714 extradural anesthesias using mepivacaine, finding a low failure rate of 0.7% and a 2.47% complication rate with no serious adverse events.

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Area of Science:

Anesthesiology
Regional Anesthesia Techniques

Context:

Extradural anesthesia is a common regional anesthesia technique.
Transsacral and lumbosacral routes are utilized for extradural anesthesia.
Mepivacaine is a frequently used local anesthetic for these procedures.

Purpose:

To assess the efficacy and safety of extradural anesthesia via transsacral or lumbosacral routes.
To determine the failure and complication rates associated with mepivacaine-based extradural anesthesia.
To evaluate the suitability of this technique across various surgical specialties.

Summary:

A total of 1,714 extradural anesthesias were performed between 1988 and 1991 using 1% mepivacaine.
Procedures included transsacral (1,308 cases) and lumbosacral (406 cases) approaches.

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Anesthesia was primarily for urogenital surgery, but also for orthopedic, abdominal, and thoracic procedures.

There were 12 failures (0.7%) and 42 total complications (2.47%), with no serious adverse events reported.

Impact:

Demonstrates the safety and effectiveness of transsacral and lumbosacral extradural anesthesia with mepivacaine.
Provides valuable data for anesthesiologists considering these techniques for diverse surgical interventions.
Highlights a low incidence of complications, supporting its use in clinical practice.