Continuous local anesthetic infusion for children with spina bifida undergoing major reconstruction of the lower urinary tract

Continuous local anesthetic catheters are a simple, effective alternative strategy to provide postoperative analgesia while reducing systemic opiate use and associated adverse effects.Table. Comparison of patent characteristics and perioperative outcomes.IV/PCAInfusion catheterp ValueN1224Mean age (yrs)10.08.10.13Sex (M/F)6/610/140.95Weight (kg)37.230.00.24IV morphine (mg/kg)POD #00.180.0870.039POD #10.550.180.007POD #20.560.160.011POD #30.370.120.002Total #0-31.660.550.004FLACC scoresMean POD #01.310.820.2Max POD #03.252.630.45Mean POD #11.651.270.54Max POD #14.583.570.18Mean POD #20.921.070.84Max POD #23.252.950.42Antiemetic POD #0-310 (83.3%)9 (37.5%)0.014