We describe the lumbosacral epidural approach in 97 children undergoing abdominal urologic surgical procedures. Due to the rudimentary spinous process of the first sacral vertebra and the less prominent sacral angle, an appropriate upward inclination of the Tuohy needle in the midline is always possible in infants and small children. A catheter was easily inserted in every case and the technique was shown to be useful and safe for providing adequate intraoperative and postoperative pain control.
EcoffeyC., DuboussetA.M., SamiiK.Lumbar and thoracic epidural anesthesia for urologic and upper abdominal surgery in infants and children. Anesthesiology1986; 65: 87–90.
3.
ArmitageE.N.Regional anaesthesia in paediatrics. In: Clinics in Anaesthesiology, Paediatric Anaesthesia.SumnerE., HatchD.J. eds. Saunders, London, 1985; 560.
AttiaJ., EcoffeyC., SandoukP., GrossJ.B., SamiiK.Epidural morphine in children: pharmacokinetics and CO2 sensitivity. Anesthesiology1986; 65: 590–594.
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DesparmetJ., Saint-MauriceC.Continuous epidural anesthesia in children under ten years old. Reg Anesth1986; 11: 168–170.
12.
DalensB., TanguyA., HabererJ.P.Lumbar epidural anesthesia for operative and postoperative pain relief in infants and young children. Anesth Analg1986; 65: 1069–1073.
