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Thoracic epidural infusion with chloroprocaine for postoperative analgesia following epicardial pacemaker placement in an infant

Authors Kamata M, Corridore M, Tobias J

Received 27 August 2014

Accepted for publication 16 September 2014

Published 23 October 2014 Volume 2014:7 Pages 609—613

DOI https://doi.org/10.2147/JPR.S73309

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 5

Editor who approved publication: Dr Michael E Schatman


Mineto Kamata,1 Marco Corridore,1,2 Joseph D Tobias1–3

1Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, OH, USA; 2Department of Anesthesiology and Pain Medicine, The Ohio State University College of Medicine, Columbus, OH, USA; 3Department of Pediatrics, The Ohio State University, Columbus, OH, USA

Abstract: In critically ill neonates and infants, major interventions, including thoracotomy, may result in significant postoperative respiratory insufficiency and pain leading to the need for postoperative mechanical ventilation. Although there are many potential options for providing postoperative analgesia, there continues to be expanding use of regional anesthesia in this population. One of the many reported advantages is the provision of postoperative analgesia while avoiding the deleterious effects on respiratory function that may be seen with systemic opioids. We report the use of thoracic epidural anesthesia using a continuous infusion of chloroprocaine to provide analgesia following thoracotomy and epicardial pacemaker placement in an infant. The perioperative plan was complicated by comorbid conditions including congenital complete heart block, recent rhinovirus infection with residual respiratory involvement, and prematurity.

Keywords: chloroprocaine, epidural anesthesia, thoracotomy, pacemaker

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