Epidural anaesthesia for ureteral reimplantation in an infant with congenital tracheal stenosis

dc.contributor.authorConcha, M
dc.contributor.authorGonzalez, J
dc.contributor.authorGonzalez, A
dc.contributor.authorDagnino, J
dc.contributor.authorMolina, R
dc.date.accessioned2025-01-21T01:33:16Z
dc.date.available2025-01-21T01:33:16Z
dc.date.issued1997
dc.description.abstractPurpose: We report a case of an infant with severe congenital tracheal stenosis who underwent ureteral reimplantation using lumbar epidural anaesthesia combined with light general anaesthesia,
dc.description.abstractClinical features: A six-month-old girl with symptomatic tracheal stenosis, demonstrated by computed tomography, was scheduled for ureteral reimplantation, She received continuous lumbar epidural anaesthesia with bupivacaine 0.25% through a 21 gauge catheter positioned at L3-4 interspace. Nitrous oxide/oxygen 50% and sevoflurane 1.5-2% were administered through a race mask and spontaneous breathing was preserved, Anaesthesia and surgery were uneventful, Postoperative epidural analgesia with bupivacaine 0.2% was excellent. The epidural catheter was withdrawn 48 hr postoperatively and she was discharged from the hospital five days later.
dc.description.abstractConclusion: Airway management is a major anaesthetic consideration in an infant with tracheal stenoses requiring abdominal surgery. We have demonstrated that regional anaesthesia combined with light general anaesthesia via face mask is an acceptable option, providing good analgesia during and after surgery. The technique preserves spontaneous ventilation and avoids tracheal manipulation.
dc.fuente.origenWOS
dc.identifier.issn0832-610X
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/97398
dc.identifier.wosidWOS:A1997XC86800016
dc.issue.numero6
dc.language.isoen
dc.pagina.final668
dc.pagina.inicio666
dc.revistaCanadian journal of anaesthesia-journal canadien d anesthesie
dc.rightsacceso restringido
dc.titleEpidural anaesthesia for ureteral reimplantation in an infant with congenital tracheal stenosis
dc.typeartículo
dc.volumen44
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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