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Updated: Jan 18, 2026

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Intestinal Reconstruction in Infants Under Epidural Anesthesia Without Invasive Airway: A Prospective Case Study.

Daniela Marhofer1, Markus Zadrazil1, Philipp L Opfermann1

  • 1Department of Anesthesia, Critical Care and Pain Medicine, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria.

Journal of Clinical Medicine
|September 13, 2025
PubMed
Summary
This summary is machine-generated.

Ultrasound-guided epidural anesthesia with sedation offers a feasible approach for infant intestinal reconstruction, successfully avoiding invasive airway management in most cases. This technique minimizes the need for general anesthesia and opioids in pediatric surgery.

Keywords:
epidural anesthesiageneral anesthesiaintestinal reconstructionpediatricsultrasonography

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Area of Science:

  • Pediatric Anesthesiology
  • Pediatric Surgery
  • Regional Anesthesia

Background:

  • Enterostomy in infants often necessitates complex surgical procedures for intestinal reconstruction.
  • Traditional anesthetic techniques may involve invasive airway management and opioid use.
  • Minimizing these interventions is crucial for infant patient safety and recovery.

Purpose of the Study:

  • To evaluate the feasibility of ultrasound-guided epidural anesthesia with sedation for infant intestinal reconstruction.
  • To assess the potential to avoid invasive airway manipulation and opioid administration.
  • To determine the safety and efficacy of this anesthetic approach in pediatric surgical patients.

Main Methods:

  • A prospective case series involving twenty infants undergoing intestinal reconstruction after enterostomy.
  • Ultrasound-guided epidural anesthesia with sedation was administered.
  • Success was defined by the absence of additional general anesthesia and invasive airway management.

Main Results:

  • Nineteen of twenty procedures (95%) were successfully completed using epidural anesthesia with spontaneous breathing.
  • No invasive airway manipulation was required in the successful cases.
  • No patients required systemic analgesics in the recovery room post-procedure.

Conclusions:

  • Ultrasound-guided epidural anesthesia with sedation is a highly feasible technique for infant intestinal reconstruction.
  • This method effectively minimizes the need for airway manipulation and general anesthesia in pediatric patients.
  • The approach shows promise in reducing opioid requirements and improving postoperative recovery.