Sacroepidural analgesia for post-operative pain relief in children.

For evaluation of the practicality of epidural analgesia for alleviation of post-operative pain, 66 class I or II patients with age ranging from 6 months to 12 years undergoing elective surgical procedures below the lower abdomen were enrolled for study during the period from January to April 1989. Before termination of general anesthesia a single dose of 0.25% bupivacaine, respectively at 0.25 mL/kg (Ideal body weight), 0.5 mL/kg, 0.75 mL/kg, 1.0 mL/kg and 1.25 mL/kg was given sacroepidurally to 5 groups of patients. Our results showed that for surgery below the lower abdomen a dose at 1.0 mL/kg was sufficient to suffice the need for relief of post-operative pain. At this dosage it achieved a neural block up to T8-T6 and provided with an analgesia that could last 6.0 +/- 2.1 hours. During the entire course there were no untoward effects such as hypotension, bradycardia, vomiting and shivering to come about. Therefore, sacroepidural analgesia with 0.25% bupivacaine at fitting single dose is safe and feasible in children as far as relief of post-operative pain for procedures below the lower abdomen is concerned.
AuthorsL H Haung, S S Hseu, K Liu, S K Tsai, K F Tseng, G M Huang, T Y Lee
JournalMa zui xue za zhi = Anaesthesiologica Sinica (Ma Zui Xue Za Zhi) Vol. 28 Issue 2 Pg. 157-62 (Jun 1990) China (Republic : 1949- )
PMID2215102 (Publication Type: Journal Article)
Chemical References
  • Bupivacaine
  • Analgesia, Epidural (methods)
  • Body Weight
  • Bupivacaine (administration & dosage)
  • Child
  • Child, Preschool
  • Humans
  • Infant
  • Pain, Postoperative (therapy)
  • Regression Analysis

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