Awake Combined Spinal Caudal Anesthesia for Longer-Duration Urologic Surgery in Infants: A Case Series

被引：0

作者：

Bean, Christopher D. ^{[1
,2
,3
]}

Low, Sarah A. ^{[1
,2
]}

Novak, Alexis B. ^{[1
,2
]}

Chen, Andrew L. ^{[1
,2
]}

Elder, Jack S. ^{[1
,2
]}

Liu, Chang A. ^{[1
,2
]}

机构：

[1] Massachusetts Gen Hosp, Dept Anesthesia Crit Care & Pain Med, Boston, MA USA

[2] Harvard Med Sch, Boston, MA USA

[3] Harvard Med Sch, Massachusetts Gen Hosp, Dept Anesthesia Crit Care & Pain Med, 55 Fruit St, Boston, MA 02114 USA

来源：

A & A PRACTICE | 2024年 / 18卷 / 06期

关键词：

REGIONAL ANESTHESIA; MIXTURES; TOXICITY;

D O I：

10.1213/XAA.0000000000001792

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Awake combined spinal caudal anesthesia has been used as an anesthetic technique for longer-duration infraumbilical surgeries in infants. Literature on the safety and feasibility of this technique is limited. We share our experience with 27 infants undergoing longer-duration urologic surgery using awake combined spinal and caudal anesthesia without the use of systemic sedatives or inhalational agents. We describe our technique, safety considerations, and details surrounding the optimal timing of caudal catheter activation for prolongation of surgical anesthesia.

引用

页数：4

共 14 条

[1] Characterization of infant spinal anesthesia using surface electromyography: An observational study
Aldous, Samuel J.
Casey, Dylan T.
DeSarno, Michael
Whitaker, Emmett E.
[J]. PEDIATRIC ANESTHESIA, 2024, 34 (01) : 42 - 50
[2] [Anonymous], Infant Spinal Anesthesia Program.
[3] Awake neuraxial anesthesia for infants undergoing infraumbilical surgery
Chen, Andrew L. L.
Elder, Jack S. S.
Liu, Chang Amber
[J]. PEDIATRIC ANESTHESIA, 2023, 33 (04) : 324 - 325
[4] MIXTURES OF LOCAL-ANESTHETICS ARE NO MORE TOXIC THAN THE PARENT DRUGS
DEJONG, RH
BONIN, JD
[J]. ANESTHESIOLOGY, 1981, 54 (03) : 177 - 181
[5] Dontukurthy Sujana, 2021, J Pediatr Pharmacol Ther, V26, P445, DOI 10.5863/1551-6776-26.5.445
[6] CONTINUOUS CAUDAL ANESTHESIA FOR INGUINAL-HERNIA REPAIR IN FORMER PRETERM INFANTS
HENDERSON, K
SETHNA, NF
BERDE, CB
[J]. JOURNAL OF CLINICAL ANESTHESIA, 1993, 5 (02) : 129 - 133
[7] Combined spinal/caudal catheter anesthesia: extending the boundaries of regional anesthesia for complex pediatric urological surgery
Jayanthi, V. R.
Spisak, K.
Smith, A. E.
Martin, D. P.
Ching, C. B.
Bhalla, T.
Tobias, J. D.
Whitaker, E.
[J]. JOURNAL OF PEDIATRIC UROLOGY, 2019, 15 (05) : 442 - 447
[8] Application of an infant spinal anesthesia protocol in infants presenting for inguinal herniorrhaphy improves operating room and postanesthesia recovery unit utilization
Liu, Chang Amber
Davis, Nicole
Kelleher, Cassandra Michelle
[J]. PEDIATRIC ANESTHESIA, 2019, 29 (08) : 881 - 882
[9] Neurodevelopmental outcome at 5 years of age after general anaesthesia or awake-regional anaesthesia in infancy (GAS): an international, multicentre, randomised, controlled equivalence trial
McCann, Mary Ellen
de Graaff, Jurgen C.
Dorris, Liam
Disma, Nicola
Withington, Davinia
Bell, Graham
Grobler, Anneke
Stargatt, Robyn
Hunt, Rodney W.
Sheppard, Suzette J.
Marmor, Jacki
Giribaldi, Gaia
Bellinger, David C.
Hartmann, Penelope L.
Hardy, Pollyanna
Frawley, Geoff
Izzo, Francesca
Sternberg, Britta S. von Ungern
Lynn, Anne
Wilton, Niall
Mueller, Martin
Polaner, David M.
Absalom, Anthony R.
Szmuk, Peter
Morton, Neil
Berde, Charles
Soriano, Sulpicio
Davidson, Andrew J.
Arnup, Sarah J.
Schuster, Tibor
Lee, Katherine
Sheppard, Suzette
Ormond, Gillian D.
Hartmann, Penelope L.
Takagi, Michael J.
Malarbi, Stephanie
Doyle, Melissa
Ragg, Philip
Backstrom, Marie
Costi, David
Knottenbelt, Graham
Montobbio, Giovanni
Mameli, Leila
Tuo, Pietro
Prato, Alessio Pini
Mattioli, Girolamo
Wolfler, Andrea
Salvo, Ida
Sonzogni, Valter
Locatelli, Bruno Guido
[J]. LANCET, 2019, 393 (10172) : 664 - 677
[10] CENTRAL-NERVOUS-SYSTEM TOXICITY OF LOCAL-ANESTHETIC MIXTURES IN MONKEYS
MUNSON, ES
PAUL, WL
EMBRO, WJ
[J]. ANESTHESIOLOGY, 1977, 46 (03) : 179 - 183

← 1 2 →