Journal article
Apnoea in a former preterm infant after caudal bupivacaine with clonidine for inguinal herniorrhaphy.
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Fellmann C
Department of Anaesthesia, University Children's Hospital, Zurich, Switzerland. claudia.fellmann@kispi.unizh.ch
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Gerber AC
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Weiss M
Published in:
- Paediatric anaesthesia. - 2002
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.
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Language
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Open access status
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closed
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Identifiers
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Persistent URL
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https://sonar.ch/global/documents/74908
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