Afliações:
1- Interno de Anestesiologia, Centro Hospitalar de Lisboa Central
2- Assistente Hospitalar Graduado, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central
3- Chefe de Serviço, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central
Divulgação:
- Reunião Internacional - Congresso O Norte da Anestesia 2014
- Poster
Resumo:
Introduction: Continuous caudal anesthesia has been commonly used in pediatric practice. This technique has been applied to abdominal and chest surgery in young children providing safe and effective analgesia while decreasing the anesthetic requirement and the risk of nerve injury. However, the risks associated with placement of the caudal catheters (CC) and with the toxicity of anesthetic, must be appreciated and all steps to maximize safety of the technique must be taken.
The purpose of this work was to analyze retrospectively the efficacy and safety of continuous caudal anesthesia.
Materials and Methods: The medical records of all 14 patients who received CC for perioperative analgesia during 3 years (2011-2013) were reviewed.
Demographic data, ASA physical status, surgical procedures, local anesthetics, catheter duration, pain control and perioperative complications were analyzed.
Results: A total of 14 CC were performed. The patients were aged 2 days to 2 months. Ropivacaine 0,05% was used for continuous analgesia, at a rate of 0,2-0,3mg/kg/h. The procedure was successful in all patients, and the catheter remain in place for 24 to 48 h. No respiratory or neurologic disorders, infections or other major complications were recorded.
Discussion/Conclusion: Caudal catheter placement (CCP) is easy and provides excellent analgesia without adverse effects. Even though the number of subjects in this report is too small, the overall feasibility and effectiveness of CCP was demonstrated, according to the literature. CCP should only be managed at surgery pediatric centers of reference with the appropriate resources and experience.
Palavras Chave: Caudal, catheter, Analgesia