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Related Experiment Videos

Continuous regional anaesthesia in infants

J D Tobias1, S Lowe, N O'Dell

  • 1Department of Anesthesiology, Vanderbilt University, Nashville, Tennessee 37232.

Canadian Journal of Anaesthesia = Journal Canadien D'Anesthesie
|November 1, 1993
PubMed
Summary
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Regional anesthesia using indwelling catheters in neonates offers a safe alternative to general anesthesia for prolonged surgeries. This approach reduces the risk of respiratory complications in physiologically immature infants.

Area of Science:

  • Pediatric Anesthesiology
  • Neonatal Critical Care
  • Regional Anesthesia Techniques

Background:

  • Neonates possess immature respiratory musculature and central respiratory control, increasing risks of apnea and complications under general anesthesia.
  • Regional anesthesia can mitigate perioperative risks but has limited data for prolonged infant surgeries.

Purpose of the Study:

  • To evaluate the feasibility and safety of prolonged regional anesthesia via indwelling catheters in infants.
  • To present experience with caudal epidural and spinal anesthesia for extended operative procedures in neonates.

Main Methods:

  • Four infants received caudal epidural or spinal anesthesia through indwelling catheters.
  • Procedures ranged from 90 to 180 minutes in duration.
  • Continuous monitoring of respiratory and hemodynamic parameters was performed.

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Main Results:

  • Regional anesthesia was successfully administered via indwelling catheters for prolonged surgeries in infants.
  • The technique provided anesthesia for procedures lasting 90-180 minutes.
  • No major intraoperative respiratory complications were reported.

Conclusions:

  • Indwelling catheter-based regional anesthesia is a viable alternative to general anesthesia for prolonged surgical procedures in neonates.
  • This technique may reduce perioperative morbidity associated with general anesthesia in this vulnerable population.