A Study of Spinal Anaesthesia in Paediatric patients of aged 2-8 years
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 3
Abstract
Background: In Paediatric Patients Spinal Anaesthesia is used for subumbilical surgeries but still there is a concern about its safety & feasibility .In our prospective study the main objective was to reevaluate the hemodynamic stability & any complications occurred in paediatric spinal anaesthesia. Material and Methods: In this prospective study, 40 paediatric patients of aged 2-8 years were included undergoing subumbilical surgery. Under all aseptic precautions and sedation, SubArachnoid block was given with 26g hypodermic needle through L3-L4 or L4-L5 interspinalspace & hyperbaric 0.5%Bupivacaine was administered according to the weight of children. .The dose of Bupivacaine used was 0.1ml\kg for child (<5kg),0.08ml\kg(5-15kg),0.06ml\kg(>15kg). Demographic data, vital parameters, sensory –motor block characteristics & complications were noted. Results: There was no significant change in vital parameters. Mean peak sensory level was T 6.20 ±1.20 (T4- T8).Mean sensory level at the end of surgery was T8.11±1.42(T6-T12) Modified Bromage score was 3 in all patients. Sensory and Motor block recovery was complete in all patients .Mean time to two segment regression was 42.91±10.72(30-70)min .Incidence of complications was minimal with shivering in 2 patients (5%) difficulty in breathing in 1 patient(2.5%) & also in 1 patient (2.5%) nausea & vomiting. Conclusion: Paediatric spinal anaesthesia is safe feasible & effective anaesthetic technique for subumbilical surgeries of limited duration (70-80) minutes with negligible side effects.
Authors and Affiliations
Dr Sanjay S Bule
Keywords
Related Articles
- EP ID EP279105
- DOI -
- Views 60
- Downloads 0
Comparative Study of Efficacy of Nebulized Beta 2 Agonist vs Nebulized Adrenaline in Bronchiolitis
Bronchiolitis is an acute communicable disease predominantly manifesting in infancy mainly caused by RSV and characterized by cough, coryza, fever, grunting, tachypnoea, retractions, inspiratory crackles, expiratory whee...
Correlation of Serum Magnesium Levels with Microvascular Complications among Type 2 Diabetes patients in South India
Background: Hypomagnesemia has been found to be associated with unfavorable effects on glucose homeostasis and insulin sensitivity in Type 2 Diabetes Mellitus (DM). If a relationship between levels of serum magnesium and...
A Case of Migraine Mimicking as Paranoid Schizophrenia- A Case Report
Migraine is the most common neurological disorder affecting people of all ages worldwide. Classical presentation is an episodic headache with or without aura. Aura is commonly visual disturbance, but auditory hallucinati...
Correlation of Imageological Findings with Per-Op Findings in Microvascular Decompression for Trigeminal Neuralgia
Trigeminal neuralgia (TGN) is characterized by sharp, electric shock like paroxysmal lancinating pain in the distribution of one or more branches of the trigeminal nerve on one side. Also characterized by periods of remi...
Urinary Calcium to Creatinine Ratio in Preeclampsia – a Comparative Study
Aim: An investigation To study whether urinary calcium and calcium to creatinine ratio are decreased in pregnant patients with preeclampsia. Material & Methods: The study was conducted in Sree Avittom Thirunal Hospital,...