Skip to main content
SpringerLink
Log in

Epidural and Regional Anesthesia

  • Chapter
  • First Online:
Fundamentals of Pediatric Surgery

  • 193 Accesses

Abstract

Multimodal analgesia is increasingly used to manage postoperative pain in children and aim to maximize the benefits and minimize the side effects of the various components. Regional anesthesia is gaining in popularity due to the ability to provide opioid sparing and site-specific analgesia and thus improve patient outcomes and satisfaction. The use of ultrasound guidance has increased the success and the popularity of truncal blocks for various abdominal procedures. Neuraxial techniques, mainly epidural analgesia and other peripheral truncal techniques are frequently used techniques. Increasing concern about the potential for neurotoxicity in young infants exposed to inhalation anesthetic agents has reignited the role of regional techniques as the sole technique for appropriate procedures in this age group.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Suggested Reading

  • Berde C. Epidural analgesia in children. Can J Anaesth. 1994;41:613–20.

    Article  Google Scholar 

  • Cucchiaro G, Adzick SN, Rose JB, Maxwell L, Watcha M. A comparison of epidural bupivacaine-fentanyl and bupivacaine-clonidine in children undergoing the Nuss procedure. Anesth Analg. 2006;103:322–7.

    Article  CAS  PubMed  Google Scholar 

  • Ganesh A, Gurnaney HG. Ultrasound guidance for pediatric peripheral nerve blockade. Anesthesiol Clin. 2009;27:197–212.

    Article  PubMed  Google Scholar 

  • Ganesh A, Adzick NS, Foster T, Cucchiaro G. Efficacy of addition of fentanyl to epidural bupivacaine on postoperative analgesia after thoracotomy for lung resection in infants. Anesthesiology. 2008;109:890–4.

    Article  CAS  PubMed  Google Scholar 

  • Gurnaney HG, Maxwell LG, Kraemer FW, Goebel T, Nance ML, Ganesh A. Prospective randomized observer-blinded study comparing the analgesic efficacy of ultrasound-guided rectus sheath block and local anaesthetic infiltration for umbilical hernia repair. Br J Anaesth. 2011;107:790–5.

    Article  CAS  PubMed  Google Scholar 

  • Weisman SJ, Bernstein B, Schechter NL. Consequences of inadequate analgesia during painful procedures in children. Arch Pediatr Adolesc Med. 1998;152:147–9.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Anesthesiology and Critical Care Medicine, The Children’s Hospital of Philadelphia and Perelman School of Medicine at University of Pennsylvania, 34th and Civic Center Blvd, Philadelphia, PA, 19104, USA

    Harshad G. Gurnaney MBBS, MPH & Arjunan Ganesh MBBS

Authors
  1. Harshad G. Gurnaney MBBS, MPH
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Arjunan Ganesh MBBS
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Arjunan Ganesh MBBS .

Editor information

Editors and Affiliations

  1. Department of General Surgery, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA

    Peter Mattei

  2. Division of Pediatric Surgery Department of Surgery, University of Wisconsin, Madison, Wisconsin, USA

    Peter F. Nichol

  3. Primary Children’s Hospital Department of Surgery, University of Utah, Salt Lake City, Utah, USA

    Michael D. Rollins, II

  4. Departments of Surgery and Pediatrics, Alpert Medical School of Brown University, Providence, Rhode Island, USA

    Christopher S. Muratore

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Gurnaney, H.G., Ganesh, A. (2017). Epidural and Regional Anesthesia. In: Mattei, P., Nichol, P., Rollins, II, M., Muratore, C. (eds) Fundamentals of Pediatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-27443-0_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-27443-0_3

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27441-6

  • Online ISBN: 978-3-319-27443-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation