2022
DOI: 10.1097/bpo.0000000000002056
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Epidural Analgesia Versus Lumbar Plexus Blockade After Hip Reconstruction Surgery in Children With Cerebral Palsy and Intrathecal Baclofen Pumps: A Comparison of Safety and Efficacy

Abstract: Background: Epidural analgesia is commonly used for pain control after reconstructive hip surgery, but its use is controversial in the presence of an intrathecal baclofen pump (ITB). The purpose of this retrospective study was to investigate the rate of serious anesthetic and postoperative complications as well as the efficacy of epidural analgesia compared with lumbar plexus blocks (LPBs) for pain management after neuromuscular hip reconstruction in children with cerebral palsy (CP) and ITB. Methods: Pediatri… Show more

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Cited by 3 publications
(3 citation statements)
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“…However, it is crucial to take into account and effectively handle the risks and challenges connected with employing this method. It's worth noting that major complications following lumbar epidural analgesia in children are generally less frequent compared to adults due to these procedures usually being performed by anesthetists (13,14). While administrating these drugs, there are numerous complications can arise.…”
Section: Clinical Manifestationmentioning
confidence: 99%
“…However, it is crucial to take into account and effectively handle the risks and challenges connected with employing this method. It's worth noting that major complications following lumbar epidural analgesia in children are generally less frequent compared to adults due to these procedures usually being performed by anesthetists (13,14). While administrating these drugs, there are numerous complications can arise.…”
Section: Clinical Manifestationmentioning
confidence: 99%
“…However, two small studies have been published using epidurals in children with intrathecal baclofen pumps with successful analgesia, no infections, and no disruptions of the pumps. 12,13 It remains unknown whether neuraxial analgesia or a peripheral nerve block is the most effective for pain control. Two studies presented at the 2022 Pediatric Orthopaedic Society of North America (POSNA) Annual Meeting suggested either fascia iliaca or lumbar plexus blocks may be more effective.…”
Section: Anesthesia Considerationsmentioning
confidence: 99%
“…14,15 One of the studies on baclofen pumps suggested an epidural was more effective than a lumbar plexus block. 13 More work is needed for the mechanism of optimal delivery of safe and effective pain management for patients undergoing hip reconstruction and single-event multilevel surgeries (SEMLs).…”
Section: Anesthesia Considerationsmentioning
confidence: 99%