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SA has also been described in combination with GA in children undergoing complex surgery. For instance, preoperative morphine SA combined with GA for scoliosis surgery is associated with reduced blood loss and better pain control.6,7 SA has been used with GA during cardiopulmonary bypass in neonates to blunt the stress response, protect hemodynamic status and reduce perioperative morbidity and mortality,4,9 although its use in this situation is not common. SA has also been described for use in chronic pain management.4,8 | SA has also been described in combination with GA in children undergoing complex surgery. For instance, preoperative morphine SA combined with GA for scoliosis surgery is associated with reduced blood loss and better pain control.6,7 SA has been used with GA during cardiopulmonary bypass in neonates to blunt the stress response, protect hemodynamic status and reduce perioperative morbidity and mortality,4,9 although its use in this situation is not common. SA has also been described for use in chronic pain management.4,8 | ||
CONTRAINDICATIONS TO SA | == CONTRAINDICATIONS TO SA == | ||
There are a number of specific contraindications to SA in children that are listed below: | There are a number of specific contraindications to SA in children that are listed below: | ||
• Coagulation abnormalities | • Coagulation abnormalities |