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High thoracic epidural analgesia in the postoperative period after correction of congenital heart defects in children

Slin'ko, S.K.

Anesteziologiia i Reanimatologiia 1999(4): 44-46

1999

ISSN/ISBN: 0201-7563
PMID: 10584369
Document Number: 511016
The effects and side effects of thoracic epidural analgesia on the respiratory response, awakening time, and cooperation with nurses were studied. Forty children received epidural analgesia after open-heart surgery. Lidocaine was injected in a dose of 1.5-2 mg/kg every 1.5-2 h. Controls (16 pts) received intravenous fentanyl + diazepam analgesia. Respiratory response and awakening were significantly earlier (p < 0.001) in the epidural group. Cooperation with nurses was much better in this group, too. No side effects were observed in the epidural group. Therefore, thoracic epidural analgesia is a safe and effective method of postoperative analgesia for children subjected to open-heart surgery.

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