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BJA Advance Access published online on March 29, 2007
British Journal of Anaesthesia, doi:10.1093/bja/aem066
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Multiple simultaneous perineural infusions for postoperative analgesia in adolescents in an outpatient setting

A. Ganesh* and G. Cucchiaro

Department of Anesthesia and Critical Care Medicine, The Children's Hospital of Philadelphia and University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA

* Corresponding author: Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, 34th St and Civic Center Blvd, Philadelphia, PA 19104-4399, USA. E-mail: ganesha{at}email.chop.edu

We report a case series of five adolescents who were managed with dual simultaneous perineural infusions after orthopaedic surgery on an outpatient basis. Adolescents undergoing orthopaedic procedures involving more than one extremity or nerve distribution can be managed after operation with multiple catheters. Use of low concentrations of local anaesthetic infusions along with good patient and family education and close follow-up by a dedicated paediatric pain management team can make this feasible in an outpatient setting.

Keywords: adolescents; analgesia, postoperative; analgesic techniques, regional; pain, paediatric; surgery, orthopaedic


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