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Safety of post-operative epidural analgesia in the paediatric population: A retrospective analysis

Ramakrishna Chaitanya Kasanavesi1, Suhasini Gazula2, Ravikanth Pula1

  • 1Department of Paediatric Surgery, ESIC Super Speciality Hospital, Hyderabad, Telangana, India.

Indian Journal of Anaesthesia
|December 9, 2015
PubMed

Insights

Epidural infusion analgesia (EIA) in children is generally safe, with most complications being temporary. This study found no life-threatening issues in pediatric patients receiving EIA for post-operative pain management.

Area of Science:

  • Pediatric Anesthesiology
  • Pain Management
  • Regional Anesthesia

Background:

  • Epidural infusion analgesia (EIA) is a common pediatric pain management technique.
  • Limited data exists on EIA safety in children, especially from the Indian subcontinent.
  • Understanding EIA complications is crucial for safe pediatric practice.

Purpose of the Study:

  • To analyze complications associated with epidural infusion analgesia in pediatric patients.
  • To evaluate the safety profile of EIA in a pediatric population.
  • To provide data on EIA complications from the Indian subcontinent.

Main Methods:

  • Retrospective review of medical records for pediatric patients receiving EIA.
  • Data collection included anesthesia registers and ICU charts.
  • Complication rates were statistically analyzed.

Main Results:

  • Seventy pediatric patients received EIA, including neonates and infants.
  • No major life-threatening or permanently disabling complications occurred.
  • Minor complications included blood tap (2.85%), peri-catheter leaks (15%), and catheter dislodgements (20%).

Conclusions:

  • Epidural infusion analgesia is a relatively safe method for pediatric pain management.
  • Observed complications are generally temporary and not severe.
  • Further research can confirm long-term safety and efficacy.
Abstract

Keywords:
Complicationsepidural analgesiapaediatric population

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