Harefuah
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In this case study two combined, light-general and lumbar epidural anesthetics were administered to a premature neonate for the repair of gastroschisis. The female infant's body weight was 1400 grams (first operation) and 1700 grams (second operation). The epidural catheter was inserted between the low-lumbar vertebrae using the "loss of resistance" for saline technique. ⋯ Neither respiratory or hemodynamic depression, nor bupivacaine toxicity were observed. The anesthetic and analgesic management is presented in the article. Technical aspects of lumbar epidural anesthesia, it's advantages over the caudal approach and dosages of epidural anesthetics in small infants, as well as complications and risks are emphasized.