SPINAL ANAESTHESIA IN PAEDIATRIC PATIENTS UNDERGOING SURGERY OF SUB UMBILICAL REGION OF THE BODY
Abstract
Background: The use of spinal anaesthesia in infants and children requiring surgeries of subumbilical region is gaining considerable popularity worldwide. But in our setups in South Asia, thistechnique has not gained popularity yet. The objective of this prospective study was to evaluate thehaemodynamic and respiratory safety of spinal anaesthesia in infants and children. Methods: In ourstudy, 66 paediatric patients of age ranging from 6 months to 10 years of either sex, ASA I and II,undergoing surgeries of sub umbilical regions were included. Spinal anaesthesia was administeredwith Quincke 25 gauge needles at L3–L4 and L4–L5 space in the lateral decubitus position after premedication. Mean Arterial Blood Pressure (MAP), Heart rate, Spo2, duration of surgery and attemptsof spinal block were the data recorded. Results: Out of the 66 patients, intra-operative Mean ArterialBlood Pressure (MAP) was normal in 65 (98.5%) of the patients. Heart rate was increased in 57(86.4%) patients, intra operatively. Pulse oximetery was normal during surgery in all the children.Duration of surgery was less than one hour in 48 (72.7%) patients and it was between 1–2 hours in18 (27.3%) of the patients. Feasibility in the form of attempts was first in 37 patients and second in29 patients. Conclusion: The ease of performance and the safety regarding cardio- respiratoryfunctions makes spinal anaesthesia as an alternative to general anaesthesia in infants and childrenundergoing surgeries of sub umbilical regions.Keywords: spinal anaesthesia, infants, sub umbilical, surgery, haemodynamicsReferences
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