INTRODUCTION: There is strong evidence that epidural @entity1337 provides good @entity282 relief in adults, but its use in @entity1 is less established. In this retrospective study, we present our experience with managing @entity1 epidural @entity1337 for abdominal surgeries in a tertiary paediatric institution. METHODS: The records of 54 @entity1 who had received a thoracic or lumbar epidural as perioperative @entity1337 for abdominal surgeries were included. The mean age of the @entity1 was 6.1 (standard deviation [SD] 3.8) months and their mean weight was 6.8 kg (SD 1.8). Most (63%) had an ASA (American Society of Anesthesiologists) status of 2 and all underwent elective gastrointestinal, urogenital, hepatobiliary or retroperitoneal surgeries. 20 catheters (37.0%) were inserted in the thoracic region and 33 (61.1%) in the lumbar region. RESULTS: A total of 52 (96.3%) catheters provided adequate intraoperative @entity1337 and 36 (66.7%) provided effective @entity1337 for the postoperative period. Active management of epidural @entity1337 , such as through epidural top-ups and infusion rate adjustment, was necessary to optimise @entity1337 in 22 (44%) of the 50 @entity1 postoperatively. Reasons for premature catheter removal were mainly technical issues such as catheter disconnection, leakage and blockage. CONCLUSION: Our data suggests that in experienced hands, specialised settings and active management, the success rate of epidural @entity1337 in @entity1 undergoing major abdominal surgeries is high and without major incident.

XXXX lumbar and thoracic epidurals for abdominal surgeries: cases in a paediatric tertiary institution.

@entity1 :: ('9606', 'Species') :: ['patients', 'infants', 'infant'] @entity1337 :: ('MESH:D000699', 'Disease') :: ['analgesia'] @entity282 :: ('MESH:D010149', 'Disease') :: ['postoperative pain']
@entity1 :: (9606,Species) :: ['Infant']
