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
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container_title Anesthesia and analgesia
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creator Meyer, Mark J
Krane, Elliot J
Goldschneider, Kenneth R
Klein, Norma J
description 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.
doi_str_mv 10.1213/ANE.0b013e31826918b6
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subjects 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
title Case report: neurological complications associated with epidural analgesia in children: a report of 4 cases of ambiguous etiologies
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