Anest. intenziv. Med. 2014;25(3):190-193
Continuous caudal epidural blocade in postoperative analgesia of an extremely premature baby - case reportAnaesthesiology - Case Reports
- 1 Klinika anesteziologie, resuscitace a intenzivní medicíny, Fakultní nemocnice v Motole a 2. lékařská fakulta Univerzity Karlovy, Praha
- 2 Oddělení pediatrie, Ústav pro péči o matku a dítě, Praha
- 3 Klinika dětské chirurgie, Fakultní nemocnice v Motole a 2. lékařská fakulta Univerzity Karlovy, Praha
This case report illustrates the use of continuous caudal epidural blockade in postoperative analgesia of an extremely premature baby. A patient with body weight of 550 g was treated for a severe form of necrotizing enterocolitis. Systemic analgesia was no longer sufficient, and therefore it was combined with continuous caudal epidural analgesia by a 1F (28G) catheter. Continuous levobupivacaine 0.25% was administered at 0.2 mg/kg/h. The quality of analgesia was evaluated by the Comfort Neo score with a satisfactory result.
Keywords: continuous caudal analgesia; premature newborn; necrotizing enterocolitis; Comfort Neo Scale
Received: January 22, 2014; Accepted: March 1, 2014; Published: June 1, 2014 Show citation
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