Single‐shot thoracic epidural: an aid to earlier discharge for pediatric laparoscopic cholecystectomy

The European Society of Regional Anaesthesia and Pain Therapy/American Society of Regional Anesthesia and Pain Medicine Recommendations on Local Anesthetics and Adjuvants Dosage in Pediatric Regional Anesthesia

“…[32][33][34] A dose of 0.5 mL/kg is usually used for lumbar epidural initial loading (0.3 mL/kg thoracic epidural initial loading) and 0.25 mL/kg for subsequent "topup" in order to obtain intraoperative analgesia. The buffering properties of the epidural space are important and prevent a rapid rise in concentration.…”

Is single‐shot thoracic epidural the only aid to early discharge after pediatric laparoscopic cholecystectomy

“…Sir—We read with interest the correspondence by Hsieh et al . regarding the use of a single‐shot thoracic epidural as an aid to earlier discharge for laparoscopic cholecystectomy in the adolescent age group.…”

“…Hsieh et al advocate that safe same‐day discharge for pediatric laparoscopic cholecystectomy can be facilitated in adolescents with SSTE by offering improved pain control. On the contrary, there has been a decrease in the usage of epidural anesthesia in children with the advent of laparoscopic surgeries and alternatives like local anesthetic blocks.…”