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British Journal of Anaesthesia, 2004, Vol. 92, No. 1 146-148
© 2004 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Postoperative nerve irritation syndrome after epidural analgesia in a six-year-old child

A. Zeidan*,1, P. Narchi2, E. Goujard3 and D. Benhamou3

1 Department of Anaesthesiology, Sahel General Hospital, Beirut, Lebanon. 2 Department of Anaesthesiology, Centre Clinical, 2 Chemin de Frégeneuil, 16800 Soyaux, France. 3 Department of Anaesthesiology and Critical Care, Bicetre Hospital, 78 rue du General Leclerc, 94275 Le Kremlin Bicetre, France

*Corresponding author: Department of Anaesthesiology, Sahel General Hospital, Lebanese University, Airport Avenue, PO Box 99/25 Ghobeiry, Beirut, Lebanon. E-mail: doczeidan@hotmail.com

Morbidity after paediatric epidural anaesthesia is unusual. We report a case of transient nerve root irritation occurring after epidural analgesia for radical nephrectomy in a 6-yr-old boy who received a continuous infusion of bupivacaine 0.1%. The epidural catheter was inserted within the L2–L3 interspace under general anaesthesia. Several possible causes are discussed. Mechanical irritation of nerve roots by the epidural catheter in the epidural space is the most likely cause.

Br J Anaesth 2004: 92: 146–8


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