[Continuous peridural anesthesia in XXXX less than 2 years old].

@entity1 @entity1508 @entity1425 @entity5149 @entity1337 @entity1963 @entity1341 @entity4488 @entity2636
Continuous epidural anaesthesia was carried out in 23 @entity1 (age 13.9 +/- 6 months, weight 9.09 +/- 2.5 kg) scheduled for long surgical procedure (soft tissue release for @entity5149 , "pull-through" for @entity1963 , various genito-urinary procedures). The lumbar epidural space was punctured under general anaesthesia with a 19 G Tuohy needle. A graduated 24 G @entity2636 catheter was then inserted and fixed. The local anaesthetic used was @entity1341 0.25% (0.71 +/- 0.02 ml X kg-1), with or without 1:200,000 @entity1425 . Five and 10 min after injection of @entity1341 , heart rate was significantly decreased (p less than 0.05) when compared with pre-induction values, but systolic blood pressure did not change. No other haemodynamic changes occurred. @entity1337 was sufficient in all but two cases at incision. Mean duration of surgical procedure was 143 +/- 9.2 min. The time of the first reinjection was significantly longer if @entity1341 with @entity1425 was used (116 +/- 2.34 min), when compared with @entity1341 without @entity1425 (68.9 +/- 3.92 min) (p less than 0.001). No systemic analgesic was needed during the surgical procedure and anaesthesia was maintained either with @entity1508 (inspiratory fraction less than 0.5%) or @entity4488 (inspiratory fraction less than 0.8%). All @entity1 were extubated at the end of the surgical procedure. The catheter was maintained in 16 @entity1 for postoperative @entity1337 . The first postoperative injection was given 7.1 +/- 0.45 h later. The catheter remained in situ 26.7 +/- 4.1 h. No complication was observed. Thus, during surgery, the need for systemic @entity1337 was avoided and a rapid and safe postoperative recovery was obtained.(ABSTRACT TRUNCATED AT 250 WORDS)
