Does the addition of fentanyl to 1.5 mg/ml ropivacaine have no advantage for paediatric epidural analgesia?
The addition of 0.2 mcg/kg/h fentanyl to 1.5 mg/ml ropivacaine increased the incidence of side effects without improvement of analgesia in infants and children undergoing hypospadias repair. The use of plain 1.25 mg/ml ropivacaine increased the need for rescue analgesia and this could be compensated by addition of fentanyl.
Ocular trauma is one of the vital risk factors for the development of intraoperative SCH during pars plana vitrectomy. It is important to control effectively the intraocular inflammation preoperatively and avoid abrupt ocular hypotony and pressure on the area of pars plana intraoperatively to the limit.