Acevedo-Corona A, Álvarez-Rosales H, Molina-Méndez FJ, Gaytán-Fernández B, Hernández-Soria V, Domínguez-Castro RMP

Language: Spanish
References: 11
Page: 185-190
PDF size: 67.83 Kb.

ABSTRACT

Intrapleural anesthesia (IPA) is an easy technique; somatic and visceral anesthesia may be achieved by injecting local anesthetics in the intrapleural space. Nevertheless, the usefulness of intrapleural anesthesia in pediatric heart surgery has not been established. The goal of this study was describing and analyzing intrapleural anesthesia in pediatric heart surgery as a complementary intraoperative technique, and comparing it to conventional general anesthesia. Twenty patients were enrolled, with patent ductus arteriosus or aortic coarctation scheduled for posterolateral thoracotomy. Ten patients (Group I) underwent conventional general anesthesia and ten (Group II) underwent general anesthesia plus IPA. Statistical analyses were performed using Student’s t test, with statistical significance at p < 0.05. Results: Mean intraoperative fentanyl consumption was 19.82 mg/kg in Group I and 7.5 mg/kg in Group II (p < 0.0007). Consumption of anesthetic gases (sevofluorane) was less in Group II compared to Group I. Mean extubation time was 1,362.4 minutes in Group I and 612 minutes in Group II (p < 0.00004). There were no significant differences as to demographic features, intraoperative midazolam consumption, ICU stay and postoperative analgesics use. No complications were reported related to the use of IPA. Conclusion: IPA is an easy technique, with few complications, which allows using less intraoperative opioids and anesthetic gases and an earlier extubation.

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