A STUDY OF NEONATAL SURGERY IN DEVELOPING COUNTRY: MONITORED LOCAL ANAESTHESIA AND SEDATION TECHNIQUE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 25
Abstract
[b]OBJECTIVE:[/b] The present study is conducted in a tertiary care institute in central India to develop an effective, safe and minimal anaesthesia technique for neonatal emergency surgery. [b]METHODOLOGY:[/b] Prospective study conducted from January 2007 to July 2009 in the paediatric surgical OPD in a tertiary care institute in central India. Types of anaesthesia used were either monitored local anaesthesia and sedation technique (MLAST) or general anaesthesia. The allocation of anaesthesia Decision was arbitrary. [b]RESULT:[/b] A total of 237 cases were studied, most common condition presenting as neonatal surgical emergency in the present study is anorectal malformation (68.35%). Overall mortality observed in MLAST group was 12 out of 120 cases (10%) and in GA group is 43 out of 117 cases (36.75%) [p= 0.0001, significant]. [b]CONCLUSION: [/b] Anorectal malformation was the most common presenting neonatal surgical condition. There is minimal risk, if surgery is performed under monitored local anaesthesia and sedation technique as compared to General anaesthesia. MLAST should be preferred over GA in setup of developed anaesthesia technique in neonatal surgical emergencies
Authors and Affiliations
Roshan Chanchlani, Rakesh Mishra, Vikesh Agarwal, Nagendra Singh
Keywords
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