How do I do it: Continuous local anesthetic infusion for children with spinal dysraphism undergoing major reconstruction of the lower urinary tract

J Pediatr Urol. 2014 Apr;10(2):394-5. doi: 10.1016/j.jpurol.2013.12.005. Epub 2013 Dec 27.

Abstract

Postoperative pain control is a fundamental aspect of contemporary pediatric surgery. While many options for analgesia are available to the general patient population, choices are limited for individuals with spinal dysraphism who undergo major urologic procedures. Continuous infusion of local anesthetics has been shown to improve postoperative pain scores and decreases the need for systemic analgesia. We present our technique for continuous local anesthetic infusion utilizing readily available equipment with limited additional cost.

Keywords: Continuous infusion of local anesthetic; Cost effectiveness; Postoperative pain.

MeSH terms

  • Anesthetics, Local / administration & dosage
  • Catheterization / methods
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Infant
  • Infusion Pumps*
  • Lower Urinary Tract Symptoms / etiology
  • Lower Urinary Tract Symptoms / surgery*
  • Male
  • Pain Management / methods
  • Pain Measurement
  • Pain, Postoperative / prevention & control*
  • Plastic Surgery Procedures / adverse effects*
  • Plastic Surgery Procedures / methods
  • Postoperative Care / methods
  • Spinal Dysraphism / complications*
  • Spinal Dysraphism / diagnosis
  • Spinal Dysraphism / surgery

Substances

  • Anesthetics, Local