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- M J Brouwers, J J Driessen, and R S Severijnen.
- Department of Anesthesiology and Department of Pediatric Surgery, University Medical Centre St Radboud, Nijmegen, PO Box 9101, 6500 HB, The Netherlands.
- Eur J Anaesthesiol. 2000 Dec 1; 17 (12): 751-3.
AbstractA case is presented of a neonate with Hirschsprung's disease, associated with congenital central hypoventilation syndrome. After an ileostomy (at 2 days) and a stoma revision (at 10 days), postoperative pain management was established by continuous intravenous infusion of morphine, which caused severe postoperative respiratory depression. At 6 weeks a re-exploration and stoma revision was performed using postoperative epidural analgesia with bupivacaine. This caused no respiratory depression. A colectomy under epidural analgesia at 8 months was also uneventful. Respiratory difficulties in children with congenital central hypoventilation syndrome associated with Hirschsprung's disease are discussed in relation to the technique of choice for postoperative pain management.
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