The use of regional anesthesia in combination with general anesthesia for cardiac surgery in children

G. B. Hammer, V. Wellis, M. G. Boltz, S. Uezono, Mark Rodefeld, N. A. Pike, M. D. Black

Research output: Contribution to journalArticle

1 Citation (Scopus)

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 languageEnglish (US)
Pages (from-to)105-112
Number of pages8
JournalSeminars in Cardiothoracic and Vascular Anesthesia
Volume5
Issue number1
StatePublished - 2001
Externally publishedYes

Fingerprint

Conduction Anesthesia
General Anesthesia
Thoracic Surgery
Airway Extubation
Artificial Respiration
Respiratory Insufficiency
Hematoma
Hypotension
Analgesia
Publications
Costs and Cost Analysis
Lung

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 journalArticle

Hammer, G. B. ; Wellis, V. ; Boltz, M. G. ; Uezono, S. ; Rodefeld, Mark ; Pike, N. A. ; Black, M. D. / The use of regional anesthesia in combination with general anesthesia for cardiac surgery in children. In: Seminars in Cardiothoracic and Vascular Anesthesia. 2001 ; Vol. 5, No. 1. pp. 105-112.
@article{8cfc86efde59438eb79bef3d57e9f2b2,
title = "The use of regional anesthesia in combination with general anesthesia for cardiac surgery in children",
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.",
author = "Hammer, {G. B.} and V. Wellis and Boltz, {M. G.} and S. Uezono and Mark Rodefeld and Pike, {N. A.} and Black, {M. D.}",
year = "2001",
language = "English (US)",
volume = "5",
pages = "105--112",
journal = "Seminars in Cardiothoracic and Vascular Anesthesia",
issn = "1089-2532",
publisher = "SAGE Publications Inc.",
number = "1",

}

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.

UR - http://www.scopus.com/inward/record.url?scp=0035102792&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035102792&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:0035102792

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 -