Accepted for publication 20th April, 1993. In children, postoperative analgesia is generally provided by either parenteral narcotics or regional anaesthetic techniques such as epidural anaesthesia. Although the efficacy of epidural anaesthesia in providing postoperative analgesia in children has been demonstrated, i-3 these studies have utilized either caudal or lumbar placement of the epidural catheter. The majority of experience with thoracic epidural analgesia in children has involved catheter placement from the caudal approach. 4-6Our review of the literature has found only three previous reports concerning the use of epidural catheters placed at the thoracic level for postoperative analgesia in children. 1,7,8 The earliest of these studies by Meigner et al. 7 demonstrated the safety and efficacy of this technique in eight children. The second study s included 30 CAN J ANAESTH 1993 / 40:9 / pp 879-82

No abstract

No abstract

No abstract