Premium
Left ventricular functions are not impaired after lumbar epidural anaesthesia in young children
Author(s) -
TSUJI MARIKO HAYASAKI,
HORIGOME HITOSHI,
YAMASHITA MASAO
Publication year - 1996
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1046/j.1460-9592.1996.d01-11.x
Subject(s) - medicine , bupivacaine , anesthesia , lumbar , general anaesthesia , ventricular function , surgery , cardiology
We studied the haemodynamic and cardiovascular effects of epidural anaesthesia with plain bupivacaine 0.75 ml·kg −1 in 13 unpremedicated ASA 1 children using measurements of heart rate, blood pressure and M‐mode echocardiography. Under general anaesthesia, M‐mode echocardiographic evaluation of left ventricular function in each patient was performed at four points (after general anaesthesia, point A; 5 min, 10 min and 25 min after epidural anaesthesia, point B; point C; and point D, respectively). Results were compared between point A and B, A and C, A and D, B and C, B and D, C and D. HR decreased significantly at 10 min (point C) and 25 min (point D) and MBP decreased at 5 min (point B) and 10 min (point D) compared to point A. No other M‐mode cardiographic indices were changed at any point. Epidural anaesthesia using 0.25% bupivacaine 0.75 ml·kg −1 did not affect LV function in young children.