| Title : Continuous caudal anesthesia for inguinal hernia repair in former preterm infants - Henderson_1993_J.Clin.Anesth_5_129 |
| Author(s) : Henderson K , Sethna NF , Berde CB |
| Ref : Journal of Clinical Anesthesia , 5 :129 , 1993 |
| Abstract : STUDY OBJECTIVE: To determine the feasibility of continuous caudal anesthesia with 2-chloroprocaine in conscious former preterm infants undergoing inguinal hernia repair. DESIGN: Prospective study. SETTING: University-affiliated children's hospital. PATIENTS: Ten former preterm infants, ASA physical status II and III, who were 35 to 49.5 weeks postconceptional age at the time of surgery. INTERVENTIONS: Caudal anesthesia was administered via an indwelling catheter using a loading dose of 1 ml/kg (30 mg/kg) of 3% 2-chloroprocaine, followed by incremental doses of 0.3 ml/kg (9 mg/kg) to achieve a level of T4 to T2. The block was maintained by a minimum infusion rate of 30 mg/kg/hr (1 ml/kg/hr) of the same local anesthetic solution. MEASUREMENTS AND MAIN RESULTS: The mean cumulative dose of 2-chloroprocaine was 2.8 +/- 1.0 ml/kg/hr (84 +/- 30 mg/kg/hr) infused over a mean duration of 95 +/- 35 minutes. Serum cholinesterase concentration and plasma 2-chloroprocaine concentration were measured in five infants. CONCLUSIONS: Three percent 2-chloroprocaine can be used effectively for continuous caudal anesthesia in conscious, former preterm infants for inguinal hernia and penoscrotal surgical procedures lasting 85 to 170 minutes. |
| ESTHER : Henderson_1993_J.Clin.Anesth_5_129 |
| PubMedSearch : Henderson_1993_J.Clin.Anesth_5_129 |
| PubMedID: 8476619 |
Henderson K, Sethna NF, Berde CB (1993)
Continuous caudal anesthesia for inguinal hernia repair in former preterm infants
Journal of Clinical Anesthesia
5 :129
Henderson K, Sethna NF, Berde CB (1993)
Journal of Clinical Anesthesia
5 :129