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Thoracic epidural analgesia and immediate extubation for less than 10 kg infants undergoing living donor liver transplantation: A report of two successful cases.
Diaz, Rodrigo; Gouvêa, Glauber; Spiller, Camila Santos; Chevi, Débora; Carneiro, Fernanda Cavalcanti; Alheira, Alice; Pureza, Ana Luiza; Steinbrück, Klaus; Fernandes, Reinaldo; Neves, Douglas Bastos; Enne, Marcelo.
Afiliação
  • Diaz R; Liver Transplantation Unit, Complexo Hospitalar de Niterói (CHN), Niteroi, Brazil.
  • Gouvêa G; Department of Anesthesia, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.
  • Spiller CS; Liver Transplantation Unit, Complexo Hospitalar de Niterói (CHN), Niteroi, Brazil.
  • Chevi D; Department of Anesthesia, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.
  • Carneiro FC; Liver Transplantation Unit, Complexo Hospitalar de Niterói (CHN), Niteroi, Brazil.
  • Alheira A; Department of Anesthesia, Americas Medical City, Rio de Janeiro, Brazil.
  • Pureza AL; Liver Transplantation Unit, Complexo Hospitalar de Niterói (CHN), Niteroi, Brazil.
  • Steinbrück K; Department of Anesthesia, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.
  • Fernandes R; Liver Transplantation Unit, Complexo Hospitalar de Niterói (CHN), Niteroi, Brazil.
  • Neves DB; Department of Anesthesia, Universidade Estadual do Rio de Janeiro (UERJ), Rio de Janeiro, Brazil.
  • Enne M; Liver Transplantation Unit, Complexo Hospitalar de Niterói (CHN), Niteroi, Brazil.
Pediatr Transplant ; 26(4): e14242, 2022 06.
Article em En | MEDLINE | ID: mdl-35122453
BACKGROUND: Perioperative pain management in small infants weighing <10 kg undergoing liver transplantation is challenging. The use of TEA in this setting has not been reported, as well as its potential role to facilitate IE, ie, in the OR. METHODS: We describe here the use of TEA in two small infants who had IE after a LDLT procedure. RESULTS: TEA was successfully performed and IE was achieved in both cases. Postoperative analgesia assessment in the OR was satisfactory according to the FLACC pain scale, with scores of 2 and 3 for each patient, respectively. There were no major complications in the postoperative period, and the two children were discharged home uneventfully. CONCLUSIONS: The use of TEA and its influence on IE rate and other perioperative outcomes should be more explored in small infants undergoing LDLT.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Analgesia Epidural / Transplante de Fígado Limite: Child / Humans / Infant Idioma: En Revista: Pediatr Transplant Assunto da revista: PEDIATRIA / TRANSPLANTE Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Dinamarca
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Analgesia Epidural / Transplante de Fígado Limite: Child / Humans / Infant Idioma: En Revista: Pediatr Transplant Assunto da revista: PEDIATRIA / TRANSPLANTE Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Dinamarca