Pediatric Epidural and Spinal Anesthesia and Analgesia

Metadata

• Author: NYSORA
• Full Title: Pediatric Epidural and Spinal Anesthesia and Analgesia
• Category: #articles
• Document Tags: ../../../Knowledge/Medicine/Paediatrics ../../../Knowledge/Medicine/Paediatrics
• URL: https://www.nysora.com/topics/sub-specialties/pediatric-anesthesia/pediatric-epidural-spinal-anesthesia-analgesia/

Highlights

• Pre-assessment is particularly useful in screening children with cutaneous stigmata of spinal dysraphism. (View Highlight)
• there is a secondary spread of local anesthetic in the epidural space. This occurs in two patterns: a horizontal intrasegmental redistribution from the dorsal to ventral epidural space and a delayed longitudinal cranial spread as the dura returns to its original position, thus pushing the epidural local anesthetic cephalad. (View Highlight)
• The use of a styletted needle may reduce the risk of introducing a dermal plug into the caudal space, although an epidermal cell graft tumor in the epidural space has yet to be reported (View Highlight)