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Canadian Journal of Anesthesia, Vol 40, 1065-1068, Copyright © 1993 by Canadian Anesthesiologists' Society

ARTICLES

Continuous regional anaesthesia in infants

JD Tobias, S Lowe, N O'Dell, JB Pietsch and WW Neblett 3rd
Department of Anesthesiology, Vanderbilt University, Nashville, Tennessee 37232.

Physiological immaturity of the respiratory musculature and central respiratory control centres leads to an increased risk of apnoea and respiratory complications following general anaesthesia in neonates. Regional anaesthetic techniques may obviate the need for general anaesthesia and lessen the risks of perioperative morbidity. Although these techniques have been described in infants, previous reports have dealt with single-shot techniques for brief surgical procedures (< 60 min). Experience with prolonged operative cases using regional anaesthesia via indwelling catheters in infants is limited. We present our experience with four infants in whom either caudal epidural or spinal anaesthesia was administered via indwelling catheters for operative procedures that lasted 90 to 180 min. We believe this technique is an alternative to general anaesthesia in these patients.




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Copyright © 1993 by the Canadian Anesthesiologists' Society.