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Anesth Analg 2007;104:457
© 2007 International Anesthesia Research Society
doi: 10.1213/01.ane.0000253563.62198.06

LETTER TO THE EDITOR

Section Editor:
Lawrence Saidman

Continuous Regional Anesthesia After Foot Surgery in Children

Christophe Dadure, MD, and Xavier Capdevila, MD, PhD

Department of Anesthesia A; Lapeyronie University Hospital; Montpellier, France; c-dadure{at}chu-montpellier.fr

In Response:

Dr. Setzer is correct regarding the fentanyl dose noted in our article (1). There was a typographical error and the correct fentanyl dose was 0.62–0.98 µg/kg. In response to the second comment, and similar to the results in our earlier studies (2,3), concerning the effects of continuous peripheral nerve blocks, we did not note any major motor block in this study. The small volume and small concentration of ropivacaine produced a differential blockade in children (4). Moreover, after podiatric surgery, a plaster cast is applied and the adverse effect of minor motor block, under a cast, is probably less uncomfortable than nausea, vomiting, or urinary retention. The assessment of motor block is especially important to limit the risk of a compartimental syndrome or pressure sores (5).

REFERENCES

  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]
  2. Dadure C, Pirat P, Raux O, et al. Perioperative continuous peripheral nerve blocks with disposable infusion pumps in children: a prospective descriptive study. Anesth Analg 2003;97:687–90.[Abstract/Free Full Text]
  3. Dadure C, Pirat P, Raux O, et al. Continuous peripheral nerve blocks at home in the treatment of complex regional pain syndromes I in children. Anesthesiology 2005;102:387–91.[ISI][Medline]
  4. Ivani G, Lampugnani E, Torre M, et al. Comparison of ropivacaine with bupivacaine for paediatric caudal block. Br J Anaesth 1998;81:247–8.[Abstract/Free Full Text]
  5. Wood CE, Goresky GV, Klassen KA, et al. Complications of continuous epidural infusions for postoperative analgesia in children. Can J Anaesth 1994;41:613–20.[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