Caudal catheter placement for repeated epidural morphine doses after neonatal upper abdominal surgery
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 ri...
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| Veröffentlicht in: | Anaesthesia and intensive care 2022-03, Vol.50 (1/2), p.141-145 |
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| container_title | Anaesthesia and intensive care |
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| creator | Ho, Anthony M-H Torbicki, Emma Winthrop, Andrea L Kolar, Mila Zalan, Julie E MacLean, Gillian Mizubuti, Glenio B |
| description | 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. |
| doi_str_mv | 10.1177/0310057X211062240 |
| format | Article |
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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.</description><identifier>ISSN: 0310-057X</identifier><identifier>EISSN: 1448-0271</identifier><identifier>DOI: 10.1177/0310057X211062240</identifier><identifier>PMID: 35172612</identifier><language>eng</language><publisher>Thousand Oaks, CA: SAGE Publications</publisher><subject>Abdominal surgery ; Analgesia ; Analgesia, Epidural ; Analgesics, Opioid ; Case Report ; Catheters ; Epidural ; Humans ; Infant ; Infant, Newborn ; Intensive care ; Local anesthesia ; Morphine ; Narcotics ; Neonatal care ; Neonatal intensive care ; Newborn babies ; Opioids ; Pain ; Pain, Postoperative ; Pediatrics ; Peridural anesthesia ; Postoperative period ; Therapeutic use ; Treatment</subject><ispartof>Anaesthesia and intensive care, 2022-03, Vol.50 (1/2), p.141-145</ispartof><rights>The Author(s) 2022</rights><rights>The Author(s) 2022 2022 Australian Society of Anaesthetists</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c519t-19668a0612bf0129caaedadc84ef61c325b53978af3ed2fa644101a7a7f76a423</citedby><cites>FETCH-LOGICAL-c519t-19668a0612bf0129caaedadc84ef61c325b53978af3ed2fa644101a7a7f76a423</cites><orcidid>0000-0002-5515-829X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0310057X211062240$$EPDF$$P50$$Gsage$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0310057X211062240$$EHTML$$P50$$Gsage$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35172612$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ho, Anthony M-H</creatorcontrib><creatorcontrib>Torbicki, Emma</creatorcontrib><creatorcontrib>Winthrop, Andrea L</creatorcontrib><creatorcontrib>Kolar, Mila</creatorcontrib><creatorcontrib>Zalan, Julie E</creatorcontrib><creatorcontrib>MacLean, Gillian</creatorcontrib><creatorcontrib>Mizubuti, Glenio B</creatorcontrib><title>Caudal catheter placement for repeated epidural morphine doses after neonatal upper abdominal surgery</title><title>Anaesthesia and intensive care</title><addtitle>Anaesth Intensive Care</addtitle><description>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. 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| source | MEDLINE; SAGE Complete; Alma/SFX Local Collection |
| subjects | Abdominal surgery Analgesia Analgesia, Epidural Analgesics, Opioid Case Report Catheters Epidural Humans Infant Infant, Newborn Intensive care Local anesthesia Morphine Narcotics Neonatal care Neonatal intensive care Newborn babies Opioids Pain Pain, Postoperative Pediatrics Peridural anesthesia Postoperative period Therapeutic use Treatment |
| title | Caudal catheter placement for repeated epidural morphine doses after neonatal upper abdominal surgery |
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