Acute Horner syndrome due to thoracic epidural analgesia in a paediatric patient

Summary A 4‐year‐old boy with coarctation of the aorta underwent surgical aortic arch repair with general anaesthesia and thoracic epidural analgesia. In the immediate postoperative period, the child developed a unilateral Horner syndrome which appeared to be related to the epidural infusion rate. M...

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Veröffentlicht in:Pediatric anesthesia 2000-01, Vol.10 (1), p.89-91
Hauptverfasser: Aronson, Lori A., Parker, Gwenevere C., Valley, Robert, Norfleet, Edward A.
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container_title Pediatric anesthesia
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creator Aronson, Lori A.
Parker, Gwenevere C.
Valley, Robert
Norfleet, Edward A.
description Summary A 4‐year‐old boy with coarctation of the aorta underwent surgical aortic arch repair with general anaesthesia and thoracic epidural analgesia. In the immediate postoperative period, the child developed a unilateral Horner syndrome which appeared to be related to the epidural infusion rate. Management of this patient as well as alternate aetiologies of Horner syndrome are described. Horner syndrome is a rare complication of epidural catheters and is often unrecognized, especially in children.
doi_str_mv 10.1046/j.1460-9592.2000.00445.x
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In the immediate postoperative period, the child developed a unilateral Horner syndrome which appeared to be related to the epidural infusion rate. Management of this patient as well as alternate aetiologies of Horner syndrome are described. Horner syndrome is a rare complication of epidural catheters and is often unrecognized, especially in children.</description><identifier>ISSN: 1155-5645</identifier><identifier>EISSN: 1460-9592</identifier><identifier>DOI: 10.1046/j.1460-9592.2000.00445.x</identifier><identifier>PMID: 10632916</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Acute Disease ; anaesthesia ; Analgesia, Epidural - adverse effects ; Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. 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In the immediate postoperative period, the child developed a unilateral Horner syndrome which appeared to be related to the epidural infusion rate. Management of this patient as well as alternate aetiologies of Horner syndrome are described. Horner syndrome is a rare complication of epidural catheters and is often unrecognized, especially in children.</description><subject>Acute Disease</subject><subject>anaesthesia</subject><subject>Analgesia, Epidural - adverse effects</subject><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Aorta, Thoracic - surgery</subject><subject>Aortic Coarctation - surgery</subject><subject>Biological and medical sciences</subject><subject>Bupivacaine</subject><subject>Child, Preschool</subject><subject>epidural</subject><subject>Horner syndrome</subject><subject>Horner Syndrome - etiology</subject><subject>Humans</subject><subject>Local anesthesia. Pain (treatment)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Postoperative Complications</subject><issn>1155-5645</issn><issn>1460-9592</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1v1DAQhi0Eoh_wF5APiFvC2I6dWOKyqoBWqkoP7dma2BPwKpsEOxHdf0-WXQHHnuaV5nlnpIcxLqAUUJmP21JUBgqrrSwlAJQAVaXLpxfs_O_i5ZqF1oU2lT5jFzlvAYSSRr5mZwKMklaYc3a_8ctM_HpMAyWe90NI4454WIjPI59_jAl99JymGJaEPccB---UI_I4cOQTUog4pxWZcI40zG_Yqw77TG9P85I9fvn8cHVd3H77enO1uS28skoXXpjKIoCnEGppQ2ekCY2vdOMlSi2b2kDdqUZZ2wrVorZU1S22htrQWlmrS_bheHdK48-F8ux2MXvqexxoXLKroTGNAFjB5gj6NOacqHNTijtMeyfAHWy6rTtIcwdp7mDT_bHpntbqu9OPpd1R-K941LcC708AZo99l3DwMf_jZKW1UCv26Yj9ij3tn_3f3W_u1qB-A_ncj2Y</recordid><startdate>200001</startdate><enddate>200001</enddate><creator>Aronson, Lori A.</creator><creator>Parker, Gwenevere C.</creator><creator>Valley, Robert</creator><creator>Norfleet, Edward A.</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200001</creationdate><title>Acute Horner syndrome due to thoracic epidural analgesia in a paediatric patient</title><author>Aronson, Lori A. ; Parker, Gwenevere C. ; Valley, Robert ; Norfleet, Edward A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3935-c1649a00cedd729df626d8c458c2a25287607f38399b13ba59e47bab6ebdb9273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Acute Disease</topic><topic>anaesthesia</topic><topic>Analgesia, Epidural - adverse effects</topic><topic>Anesthesia</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Aorta, Thoracic - surgery</topic><topic>Aortic Coarctation - surgery</topic><topic>Biological and medical sciences</topic><topic>Bupivacaine</topic><topic>Child, Preschool</topic><topic>epidural</topic><topic>Horner syndrome</topic><topic>Horner Syndrome - etiology</topic><topic>Humans</topic><topic>Local anesthesia. Pain (treatment)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Postoperative Complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aronson, Lori A.</creatorcontrib><creatorcontrib>Parker, Gwenevere C.</creatorcontrib><creatorcontrib>Valley, Robert</creatorcontrib><creatorcontrib>Norfleet, Edward A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aronson, Lori A.</au><au>Parker, Gwenevere C.</au><au>Valley, Robert</au><au>Norfleet, Edward A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute Horner syndrome due to thoracic epidural analgesia in a paediatric patient</atitle><jtitle>Pediatric anesthesia</jtitle><addtitle>Paediatr Anaesth</addtitle><date>2000-01</date><risdate>2000</risdate><volume>10</volume><issue>1</issue><spage>89</spage><epage>91</epage><pages>89-91</pages><issn>1155-5645</issn><eissn>1460-9592</eissn><abstract>Summary A 4‐year‐old boy with coarctation of the aorta underwent surgical aortic arch repair with general anaesthesia and thoracic epidural analgesia. In the immediate postoperative period, the child developed a unilateral Horner syndrome which appeared to be related to the epidural infusion rate. Management of this patient as well as alternate aetiologies of Horner syndrome are described. Horner syndrome is a rare complication of epidural catheters and is often unrecognized, especially in children.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>10632916</pmid><doi>10.1046/j.1460-9592.2000.00445.x</doi><tpages>3</tpages></addata></record>
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subjects Acute Disease
anaesthesia
Analgesia, Epidural - adverse effects
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Aorta, Thoracic - surgery
Aortic Coarctation - surgery
Biological and medical sciences
Bupivacaine
Child, Preschool
epidural
Horner syndrome
Horner Syndrome - etiology
Humans
Local anesthesia. Pain (treatment)
Male
Medical sciences
Postoperative Complications
title Acute Horner syndrome due to thoracic epidural analgesia in a paediatric patient
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