1. Caudal catheter placement for repeated epidural morphine doses after neonatal upper abdominal surgery
- Author
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Anthony M-H Ho, Emma Torbicki, Andrea L Winthrop, Mila Kolar, Julie E Zalan, Gillian MacLean, and Glenio B Mizubuti
- Subjects
Analgesia, Epidural ,Analgesics, Opioid ,Pain, Postoperative ,Catheters ,Anesthesiology and Pain Medicine ,Morphine ,Infant, Newborn ,Humans ,Infant ,Critical Care and Intensive Care Medicine - Abstract
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.
- Published
- 2022
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