ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Ann Thorac Surg 2009;88:654-656. doi:10.1016/j.athoracsur.2008.12.064
© 2009 The Society of Thoracic Surgeons
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
William Stevens
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Winch, P. D.
Right arrow Articles by Stevens, W.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Winch, P. D.
Right arrow Articles by Stevens, W.
Related Collections
Right arrow Anesthesia
Right arrow Lung - transplantation

Case Reports

Using a Thoracic Epidural Catheter in a High-Risk Pediatric Transplant Patient

Peter D. Winch, MD, MBA*, William Stevens, DO

Department of Anesthesiology, Nationwide Children's Hospital and The Ohio State University, Columbus, Ohio

Accepted for publication December 18, 2008.

* Address correspondence to Dr Winch, Department of Anesthesiology, 700 Children's Dr, Columbus, OH 43205 (Email: peter.winch{at}nationwidechildrens.org).

Although the risks and benefits of regional anesthesia for thoracic surgery are documented, little has been written about using such techniques in pediatric patients undergoing organ transplantation on cardiopulmonary bypass. The placement of thoracic epidurals in unconscious patients, the use of catheters in patients requiring heparinization, and indwelling catheters in immunosuppressed patients are topics of perennial debate. This report describes a thoracic epidural facilitated by intravenous dexmedetomidine in the management of a child who underwent bilateral lung transplantation. Using dexmedetomidine for postoperative sedation may increase the feasibility of regional techniques in patients at increased risk of associated complications.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2009 by The Society of Thoracic Surgeons.