Abstract
The use of regional anesthesia in combination with general anesthesia for children undergoing cardiac surgery is the subject of a growing number of publications and presentations. Benefits of regional anesthesia in patients having cardiac surgery include attenuation of the neuroendocrine response to surgical stress, improved postoperative pulmonary function, enhanced cardiovascular stability, and improved postoperative analgesia. To the extent that regional anesthesia facilitates early tracheal extubation in cardiac surgical patients, complications and costs associated with postoperative mechanical ventilation may be reduced. These benefits must, however, be weighed against the adverse effects that may accompany the use of regional anesthesia, including hypotension, postoperative respiratory depression, and epidural hematoma formation. In this article, the benefits and risks of regional anesthesia in infants and children undergoing open heart surgery are reviewed. In addition, specific spinal and epidural techniques currently in use are described, including management of side effects.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 105-112 |
| Number of pages | 8 |
| Journal | Seminars in Cardiothoracic and Vascular Anesthesia |
| Volume | 5 |
| Issue number | 1 |
| State | Published - 2001 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Anesthesiology and Pain Medicine
Cite this
The use of regional anesthesia in combination with general anesthesia for cardiac surgery in children. / Hammer, G. B.; Wellis, V.; Boltz, M. G.; Uezono, S.; Rodefeld, Mark; Pike, N. A.; Black, M. D.
In: Seminars in Cardiothoracic and Vascular Anesthesia, Vol. 5, No. 1, 2001, p. 105-112.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The use of regional anesthesia in combination with general anesthesia for cardiac surgery in children
AU - Hammer, G. B.
AU - Wellis, V.
AU - Boltz, M. G.
AU - Uezono, S.
AU - Rodefeld, Mark
AU - Pike, N. A.
AU - Black, M. D.
PY - 2001
Y1 - 2001
N2 - The use of regional anesthesia in combination with general anesthesia for children undergoing cardiac surgery is the subject of a growing number of publications and presentations. Benefits of regional anesthesia in patients having cardiac surgery include attenuation of the neuroendocrine response to surgical stress, improved postoperative pulmonary function, enhanced cardiovascular stability, and improved postoperative analgesia. To the extent that regional anesthesia facilitates early tracheal extubation in cardiac surgical patients, complications and costs associated with postoperative mechanical ventilation may be reduced. These benefits must, however, be weighed against the adverse effects that may accompany the use of regional anesthesia, including hypotension, postoperative respiratory depression, and epidural hematoma formation. In this article, the benefits and risks of regional anesthesia in infants and children undergoing open heart surgery are reviewed. In addition, specific spinal and epidural techniques currently in use are described, including management of side effects.
AB - The use of regional anesthesia in combination with general anesthesia for children undergoing cardiac surgery is the subject of a growing number of publications and presentations. Benefits of regional anesthesia in patients having cardiac surgery include attenuation of the neuroendocrine response to surgical stress, improved postoperative pulmonary function, enhanced cardiovascular stability, and improved postoperative analgesia. To the extent that regional anesthesia facilitates early tracheal extubation in cardiac surgical patients, complications and costs associated with postoperative mechanical ventilation may be reduced. These benefits must, however, be weighed against the adverse effects that may accompany the use of regional anesthesia, including hypotension, postoperative respiratory depression, and epidural hematoma formation. In this article, the benefits and risks of regional anesthesia in infants and children undergoing open heart surgery are reviewed. In addition, specific spinal and epidural techniques currently in use are described, including management of side effects.
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M3 - Article
VL - 5
SP - 105
EP - 112
JO - Seminars in Cardiothoracic and Vascular Anesthesia
JF - Seminars in Cardiothoracic and Vascular Anesthesia
SN - 1089-2532
IS - 1
ER -