Journal of Pediatric Urology
Volume 4, Issue 4 , Pages 280-285 , August 2008

Perioperative anesthetic and analgesic management of newborn bladder exstrophy repair

  • Sabine Kost-Byerly

      Affiliations

    • Division of Pediatric Anesthesia, Critical Care Medicine, and Pain Management, Department of Anesthesiology and Critical Care Medicine, Baltimore, MD, USA
    • Department of Pediatrics, the Johns Hopkins Hospital and the Johns Hopkins University, School of Medicine, Baltimore, MD, USA
    • Corresponding Author InformationCorresponding author. Johns Hopkins Hospital, 600 N Wolfe St, Blalock 906, Baltimore, MD 21287, USA.
    • ,
  • Eric V. Jackson

      Affiliations

    • Division of Pediatric Anesthesia, Critical Care Medicine, and Pain Management, Department of Anesthesiology and Critical Care Medicine, Baltimore, MD, USA
    • ,
  • Myron Yaster

      Affiliations

    • Division of Pediatric Anesthesia, Critical Care Medicine, and Pain Management, Department of Anesthesiology and Critical Care Medicine, Baltimore, MD, USA
    • Department of Pediatrics, the Johns Hopkins Hospital and the Johns Hopkins University, School of Medicine, Baltimore, MD, USA
    • ,
  • Lori J. Kozlowski

      Affiliations

    • Division of Pediatric Anesthesia, Critical Care Medicine, and Pain Management, Department of Anesthesiology and Critical Care Medicine, Baltimore, MD, USA
    • ,
  • Ranjiv I. Mathews

      Affiliations

    • Division of Pediatric Urology, Department of Urology, James Buchanan Brady Urological Institute, Baltimore, MD, USA
    • Department of Pediatrics, the Johns Hopkins Hospital and the Johns Hopkins University, School of Medicine, Baltimore, MD, USA
    • ,
  • John P. Gearhart

      Affiliations

    • Division of Pediatric Urology, Department of Urology, James Buchanan Brady Urological Institute, Baltimore, MD, USA
    • Department of Pediatrics, the Johns Hopkins Hospital and the Johns Hopkins University, School of Medicine, Baltimore, MD, USA

Received 18 October 2007 ,Accepted 9 January 2008.

References 

  1. Nelson CP, Dunn RL, Wei JT. Contemporary epidemiology of bladder exstrophy in the United States. J Urol. 2005;173:1728
  2. Husmann DA. Surgery insight: advantages and pitfalls of surgical techniques for the correction of bladder exstrophy. Nat Clin Pract Urol. 2006;3:95
  3. Oesterling JE, Jeffs RD. The importance of a successful initial bladder closure in the surgical management of classical bladder exstrophy: analysis of 144 patients treated at the Johns Hopkins Hospital between 1975 and 1985. J Urol. 1987;137:258
  4. Husmann DA, McLorie GA, Churchill BM. Closure of the exstrophic bladder: an evaluation of the factors leading to its success and its importance on urinary continence. J Urol. 1989;142:522
  5. Meldrum KK, Baird AD, Gearhart JP. Pelvic and extremity immobilization after bladder exstrophy closure: complications and impact on success. Urology. 2003;62:1109
  6. Anand KJ, Hickey PR. Halothane–morphine compared with high-dose sufentanil for anesthesia and postoperative analgesia in neonatal cardiac surgery. [see comments] N Engl J Med. 1992;326:1
  7. Bosenberg AT. Epidural analgesia for major neonatal surgery. Paediatr Anaesth. 1998;8:479
  8. Larsson BA, Lonnqvist PA, Olsson GL. Plasma concentrations of bupivacaine in neonates after continuous epidural infusion. Anesth Analg. 1997;84:501
  9. Aram L, Krane EJ, Kozloski LJ, et al. Tunneled epidural catheters for prolonged analgesia in pediatric patients. Anesth Analg. 2001;92:1432
  10. Fisher QA, Shaffner DH, Yaster M. Detection of intravascular injection of regional anaesthetics in children. [see comments] Can J Anaesth. 1997;44:592
  11. Gearhart JP, Forschner DC, Jeffs RD, et al. A combined vertical and horizontal pelvic osteotomy approach for primary and secondary repair of bladder exstrophy. J Urol. 1996;155:689
  12. Berde CB, Sethna NF. Analgesics for the treatment of pain in children. N Engl J Med. 2002;347:1094
  13. Yaster M, Kost-Byerly S, Berde C, et al. The management of opioid and benzodiazepine dependence in infants, children, and adolescents. Pediatrics. 1996;98:135
  14. Gearhart JP, Ben Chaim J, Sciortino C, et al. The multiple reoperative bladder exstrophy closure: what affects the potential of the bladder?. Urology. 1996;47:240
  15. Yaster M, Tobin JR, Kost-Byerly S. Local anesthetics. In:  Schechter NL,  Berde CB,  Yaster: M editor. Pain in infants, children, and adolescents. 2nd ed.. Philadelphia: Lippincott Williams and Wilkins; 2003;p. 241
  16. Lerman J, Strong HA, LeDez KM, et al. Effects of age on the serum concentration of alpha 1-acid glycoprotein and the binding of lidocaine in pediatric patients. Clin Pharmacol Ther. 1989;46:219
  17. Bosenberg AT, Thomas J, Cronje L, et al. Pharmacokinetics and efficacy of ropivacaine for continuous epidural infusion in neonates and infants. Paediatr Anaesth. 2005;15:739
  18. Kost-Byerly S, Tobin JR, Greenberg RS, et al. Bacterial colonization and infection rate of continuous epidural catheters in children. Anesth Analg. 1998;86:712
  19. Burstal R, Wegener F, Hayes C, et al. Subcutaneous tunnelling of epidural catheters for postoperative analgesia to prevent accidental dislodgement: a randomized controlled trial. Anaesth Intensive Care. 1998;26:147
  20. Schwengel DA, McGready J, Berenholtz SM, et al. Peripherally inserted central catheters: a randomized, controlled, prospective trial in pediatric surgical patients. Anesth Analg. 2004;99:1038

PII: S1477-5131(08)00213-1

doi: 10.1016/j.jpurol.2008.01.207

Journal of Pediatric Urology
Volume 4, Issue 4 , Pages 280-285 , August 2008

Article Tools

* Image Usage & Resolution