Epidural analgesia in a paediatric teaching hospital: Trends, developments, and a brief review of literature:

Proceedings of Singapore Healthcare

JolinWong¹ 

关键词: Analgesia;    epidural;    anaesthesia;    epidural;    bupivacaine;    clonidine;    pain;    postoperative;   

DOI  :  10.1177/2010105817733997

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Introduction:Continuous epidural analgesia has proven to be a good tool in the anaesthetist’s quest to provide excellent pain relief for an extended perioperative period. Pharmaceutical advances provide us with a larger array of both local anaesthetic (LA) drugs and additives that can prolong the duration or enhance the quality of analgesia, or both. The avoidance of LA toxicity is of paramount importance for safe prescription, especially in the high-risk neonatal and infant cohort, and all patients stand to benefit from ‘safer’ LA agents and adjuvants that promote the use of a lowered concentration of epidural LA infusions. We present a descriptive review of trends in epidural prescription and technique in our hospital.Methods:Our observational study was conducted over a period of 19 years in a tertiary paediatric teaching hospital. Prospectively collected data that included patient demographics, level of epidural catheter insertion, LA drugs and adjuvants used, as well as postoperative infusion rates, w...

【 授权许可】

CC BY