• Can J Anaesth · Nov 2004

    Patient-controlled regional analgesia is effective in children: a preliminary report.

    • Frédéric Duflo, Youssef Qamouss, Charlotte Rémond, Agnès Pouyau, Armand Heilporn, Patricia Taylor, Brigitte Paturel, Sylvie Combet, Emmanuel Boselli, Franck Chotel, Jérôme Bérard, and Dominique Chassard.
    • Département d'Anesthésie-Réanimation, Hôpital Debrousse, 29, rue Soeur Bouvier, 69322 Lyon Cedex 05, France. frederic.duflo@chu-lyon.fr
    • Can J Anaesth. 2004 Nov 1;51(9):928-30.

    PurposeTo report a preliminary analysis of prospectively recorded data in 27 children in whom patient-controlled regional analgesia (PCRA) was used for postoperative pain control following lower limb surgery.MethodsUnder general anesthesia, perineural catheters (popliteal and fascia iliaca compartment block) were inserted and infused with ropivacaine 0.2% (0.02 mL.kg(-1).hr(-1)). Additional demand doses were left to the child's discretion (0.1 mL.kg(-1)and a 30-min lockout interval).ResultsThe average total dose of ropivacaine administered was 4.9 +/- 2 mg.kg(-1)over 48 hr. Visual analogue scale and Children's Hospital of Eastern Ontario Pain Scale scores were always inferior to 5/10 and 6/13, respectively. Motor block was observed in two children and two children needed rescue analgesia.ConclusionsOur preliminary observations indicate that PCRA in children provides satisfactory postoperative pain relief following lower limb surgery.

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