May 7, 2007Pediatric Anesthesia

Safety and efficacy of patient controlled epidural analgesia following pediatric spine surgery

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Why the study?

Does patient controlled epidural analgesia (PCEA) provide safe and effective pain control in children and adolescents following extensive spinal surgery?

Structured PICO

Does patient controlled epidural analgesia (PCEA) provide safe and effective pain control in children and adolescents following extensive spinal surgery?

Population

100 consecutive children and adolescents (median age 14 years, range 6-19) undergoing extensive spinal surgery.

Intervention

Patient controlled epidural analgesia (PCEA) using bupivacaine 0.0625%, fentanyl 1 μg·ml−1, and clonidine 0.6 μg·ml−1 for postoperative days 1-4.

Comparator

Patient controlled analgesia (PCA) with morphine (administered to the same patients on postoperative days 4-7).

Outcome

Pain control assessed by the Revised Facial Scale (RFS) and safety/adverse events.patient reported

PCEA provides excellent pain relief with high satisfaction and low adverse events in children following extensive spinal surgery.

Discussion

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Implication

PCEA may support analgesia after pediatric spinal surgery; hypothesis-generating and requires randomized trials before practice change.

Cite This Study

Saudan et al. (2007) studied this question.

synapsesocial.com/papers/6a9510229c47f74717f57abc https://doi.org/10.1111/j.1460-9592.2007.02255_10.x

View Full Paper

Ask AI

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Safety and efficacy of patient controlled epidural analgesia following pediatric spine surgery

Structured PICO

Discussion

Implication

Cite This Study

Safety and efficacy of patient controlled epidural analgesia following pediatric spine surgery

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Also Consider