Epidural sufentanil during paediatric cardiac surgery: effects on metabolic response and postoperative outcome

Bichel, Thierry; Rouge, Jean‐Claude; Schlegel, Suzanne; Spahr-Schopfer, Isabelle; Kalangos, Afksendiyos

doi:10.1046/j.1460-9592.2000.00557.x

Cited by 9 publications

(15 citation statements)

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“…The use of caudal DEX for analgesia in pediatric non-cardiac surgery has been approved before [21] but reports regarding influence of caudal analgesia in reducing pain and stress response in pediatric cardiac surgery are controversial, [22] as the site of incision is far away from the regional technique. But, it was shown that if appropriate volume of anesthetic combined with an effective adjuvant is used, effective analgesia can be achieved with minimal side effects.…”

Section: Discussionmentioning

confidence: 99%

The efficacy of caudal dexmedetomidine on stress response and postoperative pain in pediatric cardiac surgery

Nasr¹,

Abdelhamid²

2013

Ann Card Anaesth

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Section: Discussionmentioning

confidence: 99%

The efficacy of caudal dexmedetomidine on stress response and postoperative pain in pediatric cardiac surgery

Nasr¹,

Abdelhamid²

2013

Ann Card Anaesth

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“…Obwohl die Inzidenz von Nebenwirkungen oberhalb von 40 ìg/kg überproportional steigt, sind auch niedrigere Dosierungen für ambulante Anästhe-sien nicht geeignet [16]. Die epidurale Applikation anderer Opioide, wie Tramadol, Fentanyl oder Sufentanil ist nicht sinnvoll, da weder die Analgesiequalität noch die Analgesielänge günstig beeinflusst werden und die Gefahr potenzieller Nebenwirkungen bleibt [7,8,30]. Originalarbeit vacain 0,5 % Plasmakonzentrationen, die im toxischen Bereich liegen [37].…”

Section: Selektion Der Lokalanästhetika Und Der Komedikamenteunclassified

Regionalanästhesien bei urologischen Eingriffen im Kindesalter

Reich

Brinkmann²

2004

Aktuel Urol

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Regional anesthetic techniques are widely used in pediatric anesthesia since they represent excellent tools to prevent and treat postoperative pain. Their range of application has considerably expanded during the last decades, and virtually all aspects of surgical pain management can benefit from their appropriate use. Previously considered unreliable and potentially hazardous, regional anesthetic techniques have now been proven safe. Most children undergoing outpatient surgery can benefit from regional anesthetic techniques, either as the sole anesthetic regimen or, as usual in pediatric practice, in combination with light anesthesia. Central blocks as well as peripheral nerve blocks are well tolerated by infants and young children. They are easy to perform and show a high level of efficacy. Only the patient's history has to be available. No tests, such as invasive blood coagulation screening, are required. Subsequent to a regional anesthesia, non-opioid analgetics, e. g., paracetamol or ibuprofen, have to be used for further pain management.

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“…These drawbacks have prevented widespread use of the method, which has not been accepted by clinicians as a reliable and really useful tool. The only clinical result accepted is its connection with patient morbidity and mortality [33,34].…”

Section: Assessment Of Bile Acid Concentration In Gastric Aspiratesmentioning

confidence: 99%

In vivo monitoring of the gastrooesophageal system using optical fibre sensors

Baldini

2003

Anal Bioanal Chem

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In the present paper optical fibre sensors for the detection of foregut diseases are described, in particular, sensors for the detection of bile, carbon dioxide and pH. Bile-containing refluxes are measured by means of a sensor which uses bilirubin as natural marker. The sensor, which is already present on the market, has been clinically validated by various hospitals. The clinically relevant parameter is the exposure time of the stomach/oesophagus mucosa to the bile. When measured in the oesophagus, it has been shown to be closely correlated with the onset of Barrett's oesophagus or general oesophagitis. Recently, optical fibres have been proposed for the continuous monitoring of carbon dioxide in the stomach: an important parameter in critically ill patients. A clinically validated prototype has shown its superiority in comparison with the traditional method, that is based on gastric tonometry. For the sake of completeness, also gastric pH sensors are considered, although at the moment their development is stationary at the laboratory stage.

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Epidural sufentanil during paediatric cardiac surgery: effects on metabolic response and postoperative outcome

Cited by 9 publications

References 0 publications

The efficacy of caudal dexmedetomidine on stress response and postoperative pain in pediatric cardiac surgery

The efficacy of caudal dexmedetomidine on stress response and postoperative pain in pediatric cardiac surgery

Regionalanästhesien bei urologischen Eingriffen im Kindesalter

In vivo monitoring of the gastrooesophageal system using optical fibre sensors

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