Influence de l'anesthésie caudale sur la sécrétion des catécholamines chez l'enfant

Effect of caudal block on the plasma adrenaline and noradrenaline concentrations in paediatric patients undergoing ilioinguinal herniorrhaphy

“…In contrast to Nakamura and Takasaki's [18] results, we found niorrhaphy. We found significant increases in the catecholamine concentrations in the general anaesthesia a significant increase in the A and NA values in the general anaesthesia group, while Dupont et al [12] group, comparing induction with immediate post-operative values. Adding caudal anaesthesia to general reported only an increased level of A in general anaesthesia.…”

“…Dupont et al [12] and Nakamura and Takasaki [18] investigated the effect of caudal anaesthesia on peri-This study compares the effect of two different anaesthetic techniques on the stress responses re-operative stress. As in the present study, caudal anaesthesia blocked the rise in plasma A and NA in flected by plasma catecholamine concentrations in male paediatric patients undergoing ilioinguinal her-children undergoing minor abdominal surgery.…”

“…It has been demonstrated that the anaesthetic tech-of N 2 O/O 2 in our attempt to obtain similar depths of anaesthesia. Thus, the decrease in the catecholamine nique can modulate the endocrine responses to surgery [3,4,12]. However, it seems that inhalation an-concentrations in the caudal group seems to be unrelated to depth of anaesthesia, but related to the aesthesia alone is unable to suppress the stress response to surgery [13].…”

Effect of ilioinguinal nerve block on the catecholamine plasma levels in orchidopexy: comparison with caudal epidural block

“…Dupont et al . (18) investigated the effect of caudal anaesthesia on the perioperative stress response and documented the efficacy of caudal anaesthesia to block the pain induced rise in plasma epinephrine and norepinephrine in children undergoing minor infraumbilical abdominal surgery.…”

Pain, nociception and the developing infant

“…These contrasting views are highlighted levels in the critically ill neonate (82). Local anaesthetic techniques have been shown to reduce by data suggesting that both inadequate suppression (75) and total suppression of some aspects of the or abolish the increase in cortisol and catecholamines in children undergoing inguinal herniorrhaphy, stress response (76) are associated with increased mortality in the critically ill. Studies of the stress orchidopexy, penile or lower limb surgery (83,84). Studies on the effects of extradural analgesia on the response to surgery are made more difficult because the nature of the response is dependent on the nature, stress responses to abdominal and thoracic surgery show that this technique provides better suppression site and the extent of the surgical trauma.…”