Caudal catheter placement for repeated epidural morphine doses after neonatal upper abdominal surgery.
Anthony M-H HoEmma TorbickiAndrea L WinthropMila KolarJulie E ZalanGillian MacLeanGlenio Bitencourt MizubutiPublished in: Anaesthesia and intensive care (2022)
Effective pain control after major surgery in neonates presents many challenges. Parenteral opioids (and co-analgesics) are often used but inadequate analgesia and oversedation are not uncommon. Although continuous thoracic epidural analgesia is highly effective and opioid-sparing, its associated risks and the need for staff with specialised skills and/or neonatal intensive care unit staff buy-in may preclude this option even in many academic centres. We present the case of a six-day-old infant who underwent upper abdominal surgery and received intermittent morphine doses via a tunnelled caudal epidural catheter, which provided satisfactory analgesia and facilitated early extubation.
Keyphrases
- pain management
- spinal cord
- ultrasound guided
- chronic pain
- postoperative pain
- neuropathic pain
- minimally invasive
- spinal cord injury
- preterm infants
- coronary artery bypass
- medical students
- cardiac surgery
- low birth weight
- high intensity
- robot assisted
- intensive care unit
- mechanical ventilation
- coronary artery disease
- acute coronary syndrome
- acute kidney injury
- extracorporeal membrane oxygenation
- acute respiratory distress syndrome
- climate change
- respiratory failure
- percutaneous coronary intervention