1- Interno de Anestesiologia, Centro Hospitalar de Lisboa Central
2- Assistente Hospitalar Graduado, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central
3- Chefe de Serviço, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central
- Reunião Internacional 33 Annual ESRA Congress 2014 - Sevilha
Background and aims:Continuous infusions of local anesthetics are widely used for analgesia in children. The use of tunneled catheters (TC) has the advantage that analgesia can be extended, may decrease the catheter dislodgement and the spread of infection. The aim of the study was to demonstrate the efficacy and safety of TC in the management of pain in the pediatric population.
Methods: Retrospective study of patients who received TC during the year of 2013. Twenty charts were analyzed regarding: age, ASA status, type of surgery, efficacy of pain management, catheter duration, drugs administered and complications.
Results: Three catheters were placed thoracic, 15 lombar and 2 in the sciatic nerve. Catheters remained in place for a median of 5,45 ± 4,94 days (range 1-20) and the longest duration was seen in the sciatic catheters. They were removed when pain no longer justified the use of the catheter or by the time of discharge (n=19) and one was accidentally dislodged. No serious complications were acknowledged especially cardiorespiratory, infection or others. Almost all patients had their pain well controlled, in a multimodal scheme. Two patients had nausea/vomiting, two had pruritus and three needed incremental doses of local anesthetic.
Conclusions: Even though our study has a small number of subjects, this technique proved to be effective and safe in patients with extended needs of analgesia with only minor complications that were not related directly with the tunnelization.
Palavras Chave: tunnelization, catheters, pediatrics