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Continuous epidural anaesthesia was carried out in 23 children (age 13.9±6 months, weight 9.09±2.5 kg) scheduled for long surgical procedure (soft tissue release for club-foot, “pull-through” for Hirschsprung disease, various genito-urinary procedures). The lumbar epidural space was punctured under general anaesthesia with a 19 G Tuohy needle. A graduated 24 G polyurethane catheter was then inserted and fixed. The local anaesthetic used was bupivacaine 0.25% (0.71±0.02 ml · kg−1), with or without 1:200,000 adrenaline. Five and 10 min after injection of bupivacaine, heart rate was significantly decreased (p |
