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Paediatric anaesthesia · Sep 2002
Case ReportsApnoea in a former preterm infant after caudal bupivacaine with clonidine for inguinal herniorrhaphy.
- Claudia Fellmann, Andreas C Gerber, and Markus Weiss.
- Department of Anaesthesia, University Children's Hospital, Zurich, Switzerland. claudia.fellmann@kispi.unizh.ch
- Paediatr Anaesth. 2002 Sep 1;12(7):637-40.
AbstractAwake regional anaesthesia for inguinal hernia repair in former preterm infants is suggested to avoid life-threatening respiratory complications known to occur after general anaesthesia. Caudal anaesthesia is becoming a more popular technique for this purpose. To prolong duration of anaesthesia and to reduce postoperative need for analgesics in these infants, caudal clonidine has been considered useful. We report a former preterm infant, who had two awake caudal anaesthetics for herniotomy within 3 weeks. The first was uneventful with bupivacaine 0.25% at 35 weeks postconceptional age. At 38 weeks, the baby suffered form intra- and postoperative apnoeas after inadvertent administration of bupivacaine 0.125% plus clonidine.
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