1993
DOI: 10.1007/bf03009705
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Lumbar epidural anaesthesia for inguinal hernia repair in low birth weight infants

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Cited by 26 publications
(11 citation statements)
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“…Technical difficulties seem to be the principal disadvantage of this method, with an insertion of a catheter at the first attempt in only five babies out of nine ( 3). Lumbar epidural anaesthesia without a catheter has theoretical advantages ( 8). Nevertheless, this technique has theoretical potential hazards as the risk of inadvertent intrathecal and/or intravascular injection is greater than with caudal anaesthesia.…”
Section: Discussionmentioning
confidence: 99%
“…Technical difficulties seem to be the principal disadvantage of this method, with an insertion of a catheter at the first attempt in only five babies out of nine ( 3). Lumbar epidural anaesthesia without a catheter has theoretical advantages ( 8). Nevertheless, this technique has theoretical potential hazards as the risk of inadvertent intrathecal and/or intravascular injection is greater than with caudal anaesthesia.…”
Section: Discussionmentioning
confidence: 99%
“…[15] In the absence of more precise data, when local anesthetics are combined, the maximum dose of each should be adjusted in proportion to dose of the other as a fraction of its maximum recommended dose; thus, if the first local anesthetic is given at one-half of its maximum recommended dose, the second should be administered at no more than one-half of its recommended maximum. Webster et al [175] report 18 premature infants who received single-shot lumbar epidural anesthesia with 0.75 to 1 ml/kg of 0.25% bupivacaine; unsupplemented lumbar epidural anesthesia provided adequate operating conditions in 15 of 18 infants.…”
Section: Bupivacainementioning
confidence: 99%
“…Special indications include patients with respiratory disease and ex-premature infants [57]. Epidural anaesthesia may also be used as the sole anaesthetic for ex-premature infants undergoing surgery [58,59].…”
Section: Indicationsmentioning
confidence: 99%
“…This was presumably caused by the local anaesthetic solution in the epidural space compressing the lumbar cerebrospinal fluid and causing the subarachnoid local anaesthetic to migrate cephalad (Table 6). Because of the limitations of subarachnoid blockade in neonates, attempts have been made to use alternatives such as one-shot caudal epidural blockade [180,181], lumbar epidural blockade [58], combined spinal and epidural techniques [157] and continuous caudal epidural blockade using an epidural catheter [59]. All of these techniques have been used in relatively few patients although descriptions are encouraging.…”
Section: Problemsmentioning
confidence: 99%