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Anaesth Intensive Care · Mar 2022
Case ReportsCaudal catheter placement for repeated epidural morphine doses after neonatal upper abdominal surgery.
- Anthony M-H Ho, Emma Torbicki, Andrea L Winthrop, Mila Kolar, Julie E Zalan, Gillian MacLean, and Glenio B Mizubuti.
- Department of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, Canada.
- Anaesth Intensive Care. 2022 Mar 1; 50 (1-2): 141-145.
AbstractEffective pain control after major surgery in neonates presents many challenges. Parenteral opioids (and co-analgesics) are often used but inadequate analgesia and oversedation are not uncommon. Although continuous thoracic epidural analgesia is highly effective and opioid-sparing, its associated risks and the need for staff with specialised skills and/or neonatal intensive care unit staff buy-in may preclude this option even in many academic centres. We present the case of a six-day-old infant who underwent upper abdominal surgery and received intermittent morphine doses via a tunnelled caudal epidural catheter, which provided satisfactory analgesia and facilitated early extubation.
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