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Intercristal line bisects L5 in Neonates compared with L4/L5 in adults
Conus medullaris at L3 in Neonates & infants; at L1 at 1 year old
Depth to epidural space 1 mm/kg - age > 6months

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Loading dose: 0.5 ml/kg 0.25% levobupivacaine or 0.2% Ropivacaine at start of case (max 15 ml)
Throughout case 0.1 ml/kg boluses every 1-2 hr prn
Infusion started in recovery at 0.1-0.2 ml/kg/hr of 0.125% Levobupivicaine or 0.2% Ropivicaine /- Fentanyl /- Clonidine
0.2 mg/kg/hr in Neonates
0.4 mg/kg/hr in older children

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Royal Children's Hospital Melbourne paediatric regional anaesthesia guidelines www.rch.org.au/anaes/pain...

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