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KMID : 0878620010050020094
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Korean Journal of Pediatric Anesthesia
2001 Volume.5 No. 2 p.94 ~ p.98
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Caudal Anesthesia with 0.25% Ropivacaine under Light Inhalational Anesthesia in a Premature Infant for Inguinal Herniorrhaphy -A case report-
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Hwang Seung-Ok
Eum Hyun-Sik
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Abstract
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Bronchopulmonary dysplasia infants are at high-risk of apnea after surgery. A postconceptual age 536 weeks, 2130 g, male was scheduled for a herniorrhaphy. The medical history was significant for premature birth at 254 weeks of gestation with a birth weight of 862 g. Diagnosed as grade Ⅳ bronchopulmonary dysplasia, sepsis and DIC, he had third times of surfactant, dexamethason, aminophylline and diuretics. He was classified as ASA class Ⅲ. After ketamine 2㎎ Ⅳ, a caudal block was performed via a 25 G angiocatheter using a single bolus dose of 1.0㎖/㎏ of 0.25% ropivacaine. Anesthesia level was checked to T10 by a pinch. Sedation was maintained with isoflurane 0.2∼1.2 vol.% under the self-respiration. After uneventful surgery, he was transferred to NICU. Apnea and bradycardia was not observed. Next morning he was transferred to observation room with good crying, physical activity and self-voiding. A caudal block with light inhalational anesthesia was a successful
method in a high-risk premature infant for herniorrhaphy.
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KEYWORD
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Anesthesia: neonatal, premature, Anesthetics, local: repivacaine, Anesthetic techniques: caudal
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