Comparison of epidural fentanyl versus fentanyl plus bupivacaine continuous infusions for control of postoperative pain after selective dorsal rhizotomy in children

~~p~it~~l fossa block was used for past-operativeanalgesia in elewcn children,ages 7 months to 14 years of age, undergoingfoot or ankle surgery undergeneral anesthesia. A total of 14 blackswere performedusing either .25% or .5%bupiwrcaine. Yhen necessarythe femoralnerve was blacked in the inguinal High in the poplltoalfossil, the sciaticnerve divides into t'lbial and ~~~~~~~Tbranches. It lies superficialand just lateralto the femoral artery and may be blacked at this point. (flackswere performedin the slightlylateral.prone or supine position with the leg flexed, using a 21 gauge U-bevel needle with flexible extcnslon tubing with the po[jllteal wet-y as the landmark. A single Injectionof 3-15 CT. was plamd PatPrallt3 the artery as high as possible in the fassa. Successful block ki;s judged by the need for post operative analgesia as determinedby the nursingitaff. 93% of the blacks were successfulwith the durationof analgesiaranging from 2.5 to 48 hours. No complicationswere observed. This shnplc procedurecan provtdo safe and effectiwupost-apewttve pain relief in children.

Univmip

$Fhida,

Floriiia, USA

Gainesville,