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  • Title: [High epidural anesthesia in the correction of congenital heart defects with artificial circulation in children].
    Author: Slin'ko SK, Kurek VV, Kulagin AE, Galershteĭn EM.
    Journal: Anesteziol Reanimatol; 1998; (1):17-9. PubMed ID: 9553252.
    Abstract:
    Effects of high thoracic epidural anesthesia (TEA) on hemodynamics were studied in patients undergoing cardiopulmonary bypass (CPB) surgery. In 7 patients aged 3-7 years, TEA was used as an adjunct to standard oxygen-air-isoflurane anesthesia. We prefer using a combination of lidocaine with fentanyl for epidural anesthesia. Usually we take a loading dose of 4.5 mg/kg of lidocaine and 1 microgram/kg of fentanyl, which is followed after 40-50 min by 3.5 mg/kg lidocaine and 1 microgram/kg fentanyl. TEA ensures good pain relief and hemodynamic stability and can be accepted as a safe and effective anesthetic technique in combination with inhalation anesthesia in children subjected to CPB.
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