PMID: 9553252Apr 29, 1998Paper

High epidural anesthesia in the correction of congenital heart defects with artificial circulation in children

Anesteziologiia i reanimatologiia
S K Slin'koE M Galershteĭn

Abstract

Effects of high thoracic epidural anesthesia (TEA) on hemodynamics were studied in patients undergoing cardiopulmonary bypass (CPB) surgery. In 7 patients aged 3-7 years, TEA was used as an adjunct to standard oxygen-air-isoflurane anesthesia. We prefer using a combination of lidocaine with fentanyl for epidural anesthesia. Usually we take a loading dose of 4.5 mg/kg of lidocaine and 1 microgram/kg of fentanyl, which is followed after 40-50 min by 3.5 mg/kg lidocaine and 1 microgram/kg fentanyl. TEA ensures good pain relief and hemodynamic stability and can be accepted as a safe and effective anesthetic technique in combination with inhalation anesthesia in children subjected to CPB.

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.

Related Papers

Masui. The Japanese journal of anesthesiology
Toshifumi TakasusukiToshimitsu Kitajima
Masui. The Japanese journal of anesthesiology
M Igarashi
Masui. The Japanese journal of anesthesiology
Toshifumi TakasusukiToshimitsu Kitajima
Masui. The Japanese journal of anesthesiology
M Igarashi
© 2022 Meta ULC. All rights reserved