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Anesth Analg 2007;104:457
© 2007 International Anesthesia Research Society
doi: 10.1213/01.ane.0000253562.85060.10

LETTER TO THE EDITOR

Section Editor:
Lawrence Saidman

Continuous Regional Anesthesia After Foot Surgery in Children

Nancy Setzer, MD

Department of Anesthesiology; University of Washington; Children’s Hospital and Regional Medical Center; Seattle, Washington; nancy.setzer-saade{at}seattlechildrens.org

To the Editor:

I congratulate Dr. Dadure et al. (1) for their important study comparing continuous epidural blocks with continuous popliteal nerve blocks for postoperative pain relief after major foot surgery in children. My review of the study, however, left some questions unanswered. First, the authors make reference to a peroperative fentanyl infusion in Tables 1 and 2; however, no mention is made of this in the Methods section. The doses of fentanyl indicated in the table (0.62–0.98 g/kg) either represent a typographical error or are extraordinarily large.

Second, although the authors note that no prolonged major motor block was seen in either group of patients, an evaluation and discussion of minor motor block noted would be useful to the clinician.

REFERENCE

  1. Dadure C, Bringuier S, Nicolas F, et al. Continuous epidural block versus continuous popliteal nerve block for postoperative pain relief after major podiatric surgery in children: a prospective, comparative randomized study. Anesth Analg 2006;102:744–9.[Abstract/Free Full Text]



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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press