Journals Information
Universal Journal of Medical Science(CEASE PUBLICATION) Vol. 1(4), pp. 94 - 95
DOI: 10.13189/ujmsj.2013.010403
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Thoracic Epidural Plus Continuous Brachial Plexus Analgesia for Pediatric Reconstructive Surgery: A Case Report
P. Finazzi 1, P. Brambillasca 2, D. Corbella 2, F. Coccolini 3,*, D. Codazzi 4, L. Ansaloni 3, V. Sonzogni 2
1 Brescia University, Anesthesiology dept., Brescia, Italy
2 Anesthesiology dept., General Surgery dept. Papa Giovanni XXIII hospital, Bergamo, Italy
3 General Surgery dept., Papa Giovanni XXIII Hospital, Bergamo, Italy
4 Plastic surgery dept.,Papa Giovanni XXIII hospital, P.zza OMS 1, 24127 Bergamo, Italy
ABSTRACT
We present a case of an 11-years old child who underwent several plastic procedures for massive skin necrosis of the right forearm. Pain control was achieved combining a thoracic epidural and a continuous brachial plexus block. The patient was successfully weaned from chronic opiates. Possible advantages (i.e. improved graft perfusion, speeded opiates weaning) and disadvantages (i.e. local anesthetic toxicity) of this combined approach are briefly discussed.
KEYWORDS
Thoracic Epidural, Continuous Brachial Plexus Block, Pediatric Loco-Regional Anesthesia, Local Anesthetic Toxicity, Opiates Weaning
Cite This Paper in IEEE or APA Citation Styles
(a). IEEE Format:
[1] P. Finazzi , P. Brambillasca , D. Corbella , F. Coccolini , D. Codazzi , L. Ansaloni , V. Sonzogni , "Thoracic Epidural Plus Continuous Brachial Plexus Analgesia for Pediatric Reconstructive Surgery: A Case Report," Universal Journal of Medical Science(CEASE PUBLICATION), Vol. 1, No. 4, pp. 94 - 95, 2013. DOI: 10.13189/ujmsj.2013.010403.
(b). APA Format:
P. Finazzi , P. Brambillasca , D. Corbella , F. Coccolini , D. Codazzi , L. Ansaloni , V. Sonzogni (2013). Thoracic Epidural Plus Continuous Brachial Plexus Analgesia for Pediatric Reconstructive Surgery: A Case Report. Universal Journal of Medical Science(CEASE PUBLICATION), 1(4), 94 - 95. DOI: 10.13189/ujmsj.2013.010403.