Key result
Epidural infusion analgesia in 52 pediatric patients was associated with complications including infections (n=5), wet tap (n=4), and catheter migration (n=3), but was concluded to be a safe and effective method.
Why the study?
What are the complications associated with epidural infusion analgesia in pediatric patients undergoing surgery?
Observational (n=52)
No
What are the complications associated with epidural infusion analgesia in pediatric patients undergoing surgery?
Epidural infusion analgesia in pediatric patients is associated with specific insertion, maintenance, and removal complications, though the authors conclude it remains an effective and safe method.
Small pediatric cohort shows complications with epidural infusions; leaves open need for larger prospective safety data before wider use.
Background: Epidural analgesia is now firmly established in pediatric anaesthetic practice and its popularity continues to grow. The present study was conducted to determine complications due to epidural infusion analgesia in children. Materials & Methods: The present study was conducted on 52 patients of both genders. All children undergoing elective or emergency surgeries under general anaesthesia and given concomitant epidural analgesia for post-operative pain management. In all patients, complications such as at the time of insertion, during maintenance nerve injuries, and during removal catheter breakage was recorded. Results: Out of 52 cases, males were 32 and females were 20. Complications in patients were at the time of insertion such as blood trap in 2, failure to identify space in 1, wet tap in 4, epidural hematoma in 1 and nerve injuries in 1. The difference was significant (P< 0.05). During maintenance of epidural such as peri catheter leaks in 2, catheter migration in 3, during removal such as infections in 5 and other causes were seen in 1 cases. The difference was significant (P< 0.05). Conclusion: Authors stated that epidural infusion analgesia is an effective and safe method of providing analgesia.
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Rajni Sharma (2018) conducted an observational in Post-operative pain (n=52). Epidural infusion analgesia was evaluated on Complications at the time of insertion, during maintenance, and during removal. Epidural infusion analgesia in 52 pediatric patients was associated with complications including infections (n=5), wet tap (n=4), and catheter migration (n=3), but was concluded to be a safe and effective method.
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