Case report: neurological complications associated with epidural analgesia in children: a report of 4 cases of ambiguous etiologies

The safety and utility of pediatric epidural analgesia is well established, but the risk of permanent neurological injury is unknown and largely must be extrapolated from adult literature. In this article we present a series of 4 cases of longterm or permanent neurologic complications associated wit...

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Veröffentlicht in:	Anesthesia and analgesia 2012-12, Vol.115 (6), p.1365-1370
Hauptverfasser:	Meyer, Mark J, Krane, Elliot J, Goldschneider, Kenneth R, Klein, Norma J
Format:	Artikel
Sprache:	eng
Schlagworte:	Analgesia, Epidural - adverse effects Anesthesia, General Anesthetics, Local - administration & dosage Anesthetics, Local - therapeutic use Bupivacaine - administration & dosage Bupivacaine - therapeutic use Child Colitis, Ulcerative - surgery Complex Regional Pain Syndromes - complications Complex Regional Pain Syndromes - therapy Dexamethasone - therapeutic use Female Funnel Chest - surgery Humans Infant Laminectomy Magnetic Resonance Imaging Male Nervous System Diseases - drug therapy Nervous System Diseases - etiology Nervous System Diseases - surgery Pain, Postoperative - drug therapy Paralysis - chemically induced Postoperative Complications - drug therapy Postoperative Complications - etiology Postoperative Complications - surgery Recovery of Function Spinal Cord Compression - complications Spine - pathology Urogenital Abnormalities - surgery
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Beschreibung
Zusammenfassung:	The safety and utility of pediatric epidural analgesia is well established, but the risk of permanent neurological injury is unknown and largely must be extrapolated from adult literature. In this article we present a series of 4 cases of longterm or permanent neurologic complications associated with epidural analgesia. Possible mechanisms of injury and implications for practice are discussed.
ISSN:	1526-7598
DOI:	10.1213/ANE.0b013e31826918b6