Management of XXXX with ultrasound guided single shot epidural anaesthesia--a retrospective analysis of 20 cases.

@entity1 @entity1184 @entity26 @entity1342 @entity1875 @entity5889
AIM: To retrospectively describe the performance of ultrasound guided thoracic epidural anaesthesia under sedation for anaesthesia management of open pyloromyotomy. BACKGROUND: Anaesthesia management for @entity1184 ( @entity1184 ) is usually performed under general anaesthesia with tracheal intubation. Only a few publications describe avoidance of tracheal intubation in @entity1 by using spinal or caudal anaesthesia. The present retrospective analysis describes the performance of ultrasound guided thoracic epidural anaesthesia under sedation for anaesthetic management of open pyloromyotomy. METHODS: Twenty consecutive @entity1 scheduled for pyloromyotomy according to the Weber-Ramstedt technique were retrospectively analysed. After sedation with @entity5889 and @entity1875 , an ultrasound guided single shot thoracic epidural anaesthesia was performed with 0.75 ml  kg(-1) @entity1342 0.475%. Insufficient blockade was defined as increase of HR > 15% from initial value and/or any movements at skin incision. In those cases we were prepared for rapid sequence intubation according to the departmental standard. RESULTS: All pyloromyotomies could be performed under single shot thoracic epidural anaesthesia and sedation. One case of moderate @entity26 desaturation was treated with intermittent ventilation via face mask. CONCLUSIONS: Thoracic epidural anaesthesia under sedation for pyloromyotomy has been a useful technique in this retrospective series of @entity1 suffering from @entity1184 . In 1/20 @entity1 short term assisted ventilation via face mask was required. Undisturbed surgery was possible in all cases.
