Epidurals for Coarctation Repair in Children Are Associated with Decreased Postoperative Anti-Hypertensive Infusion Requirement as Measured by a Novel Parameter, the Anti-Hypertensive Dosing Index (ADI)

Bibliographic Data

ID15714907
AuthorsJ Matthew Kynes (0000-0003-0487-6600, Vanderbilt University Medical Center), Matthew S Shotwell (0000-0002-1480-0637, Vanderbilt University Medical Center), Camila Walters (0000-0001-7131-3088, Vanderbilt University Medical Center, corresponding author), David P Bichell (0000-0003-0227-1771, Vanderbilt University Medical Center), Jason Christensen (0000-0002-9231-8029, Vanderbilt University Medical Center), Stephen R Hays (0000-0003-2166-8811, Vanderbilt University Medical Center)
Year2019
Volume6
Issue10
Pages112-112
Publication date2019-10-10
Open AccessYes
TypeARTICLE
VenueChildren (JOURNAL)
Journal identifiersISSN: 2227-9067 • E-ISSN: 2227-9067
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children6100112
PMID31658735
OpenAlexW2979477206
LanguageEN

This is the first study of children receiving an epidural for surgical repair of aortic coarctation via open thoracotomy. In this small, single-institution, observational retrospective cohort study, epidurals for coarctation repair in children were associated with decreased postoperative anti-hypertensive infusion requirements. Epidurals were not associated with length of ICU or hospital stay, or with discharge on anti-hypertensive medication. No significant epidural complications were noted. Prospective study of larger populations will be necessary to confirm these associations, address causality, verify safety, and assess other effects

Anesthesia · Blood pressure · Dosing · Intensive care unit · Observational study · Retrospective cohort study · Anesthesia and Pain Management · Cardiac, Anesthesia and Surgical Outcomes · Cardiovascular Issues in Pregnancy · Medicine · Internal Medicine · Surgery

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Open DOISci-HubOpen Access