I am a
Home I AM A Search Login

Papers of the Week

2021 Mar 12

J Neurosurg Pediatr

Epidural analgesia for reduction of postoperative systemic opioid use following selective dorsal rhizotomy in children.


Karsten MB, Staffa SJ, McClain CD, Amon J, Stone S S
J Neurosurg Pediatr. 2021 Mar 12:1-6.
PMID: 33711802.


Selective dorsal rhizotomy (SDR) requires significant postoperative pain management, traditionally relying heavily on systemic opioids. Concern for short- and long-term effects of these agents has generated interest in reducing systemic opioid administration without sacrificing analgesia. Epidural analgesia has been applied in pediatric patients undergoing SDR; however, whether this reduces systemic opioid use has not been established. In this retrospective cohort study, the authors compared postoperative opioid use and clinical measures between patients treated with SDR who received postoperative epidural analgesia and those who received systemic analgesia only.