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Apnoea in a former preterm infant after caudal bupivacaine with clonidine for inguinal herniorrhaphy.
Journal article

Apnoea in a former preterm infant after caudal bupivacaine with clonidine for inguinal herniorrhaphy.

  • Fellmann C Department of Anaesthesia, University Children's Hospital, Zurich, Switzerland. claudia.fellmann@kispi.unizh.ch
  • Gerber AC
  • Weiss M
  • 2002-10-03
Published in:
  • Paediatric anaesthesia. - 2002
Anesthesia, Caudal
Anesthetics, Combined
Apnea
Bupivacaine
Clonidine
Hernia, Inguinal
Humans
Infant
Infant, Newborn
Infant, Premature
Intraoperative Complications
Male
Medication Errors
Postoperative Complications
English Awake regional anaesthesia for inguinal hernia repair in former preterm infants is suggested to avoid life-threatening respiratory complications known to occur after general anaesthesia. Caudal anaesthesia is becoming a more popular technique for this purpose. To prolong duration of anaesthesia and to reduce postoperative need for analgesics in these infants, caudal clonidine has been considered useful. We report a former preterm infant, who had two awake caudal anaesthetics for herniotomy within 3 weeks. The first was uneventful with bupivacaine 0.25% at 35 weeks postconceptional age. At 38 weeks, the baby suffered form intra- and postoperative apnoeas after inadvertent administration of bupivacaine 0.125% plus clonidine.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://folia.unifr.ch/global/documents/74908
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