Effects of awake caudal anesthesia on mean arterial blood pressure in very low birthweight infants.

BMC Anesthesiology
Frank FidelerChristian Grasshoff

Abstract

Intraoperative blood pressure is a relevant variable for postoperative outcome in infants undergoing surgical procedures. It is therefore important to know whether the type of anesthesia has an impact on intraoperative blood pressure management in very low birth weight infants. Here, we retrospectively analyzed intraoperative blood pressure in very low birthweight infants receiving either awake caudal anesthesia without sedation, or caudal block in combination with general anesthesia, both for open inguinal hernia repair. Ethical approval was provided by the University of Tuebingen Ethical Committee on 05/29/2018 with the project number 403/2018BO2. Patient records of infants admitted by the neonatologist (median age at birth 31.1 ± 3.5 weeks, median weight at birth 1240 ± 521 g) which were scheduled for inguinal hernia repair were retrospectively evaluated for the course of mean arterial blood pressure and perioperative interventions to stabilize blood pressure. A total of 42 patients were included, 16 patients (11 boys, 5 girls) received awake caudal anesthesia, 26 patients (22 boys, 4 girls) a combination of general anesthesia and caudal block. Approximately 3% of the measured mean arterial blood pressure values in the cauda...Continue Reading

References

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Apr 26, 2002·Anesthesia and Analgesia·Eric LarousseDan Benhamou
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Feb 12, 2014·Pediatrics·Mary Ellen McCannRobert C Tasker
Apr 5, 2014·Paediatric Anaesthesia·Ossam RhondaliDominique Chassard
Apr 15, 2014·Paediatric Anaesthesia·Monica Williams, Jennifer K Lee
Sep 17, 2014·Paediatric Anaesthesia·Ossam RhondaliDominique Chassard
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May 2, 2015·Paediatric Anaesthesia·Daphné MicheletSouhayl Dahmani
Nov 22, 2017·Journal of Clinical Anesthesia·Ali AhiskaliogluSaban Oguz Demirdogen

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