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  • Title: [THE USE OF 20% LIPOFUNDIN INFUSIONS AT THE APPEARANCE OF TOXIC PROPERTIES OF ROPIVACAINE 2 MG/ML IN CHILD 1.5 MONTHS AT THE POSTOPERATIVE PERIOD WITH EPIDURAL ANALGESIA].
    Author: Sichkar SY, Afukov II, Koshko OV, Yeliseeva NV.
    Journal: Anesteziol Reanimatol; 2016; 61(1):51-4. PubMed ID: 27192857.
    Abstract:
    Introduction of local anesthetic proved application of epidural (EP) as an effective and safe way of an analgesia in intra- and the post-operational period and now it is widely applied at children of all age groups (1). However there is a number of contraindications for application of this type of an analgesia. At children till 6 months lower dosages of a ropivacain of 2 mg/kg are applied, considering their age features. At the phenomena of system toxicity infusion of 20% lipofundin is applied. The child has an age 1.5 months, weight 5230 g, with the diagnosis a cystous dysplasia of both kidneys, a megaureter at the left and on the right, lack offunction of the left kidney operation a laparoscopic nefrureterektomia is executed at the left. In the postoperative period at application of EP of an analgesia ofropivacain 2 mg/ml by a drop way introduction in a standard dosage of 0.2 mg/kg of body weight an hour the repeating episodes of convulsions which were regarded as manifestation of toxic properties of local anesthetic were noted. Infusion of 20% lipofundin of 15 ml (2.8 ml/kg of body weight) within 30 minutes with a positive effect was applied. EP an analgesia was recoloured.
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