Sole caudal epidural anaesthesia in former preterm and neonatal lower abdominal surgeries
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 7, Issue 3
Abstract
Background: The newborn requires meticulous anaesthesia to maintain physiologic homeostasis, prevent pain, stress responses, and their sequelae. Anaesthesia-related morbidity and mortality are higher in neonates especially preterms and low birthweight babies. Aim: To evaluate the efficacy of caudal epidural anaesthesia as a sole anesthetic in preterm babies and neonates undergoing lower abdominal, emergency and elective surgeries and its effect on post operative outcome. Materials and Methods: This study was conducted at Niloufer Hospital for Women and Children during the period of six months. 30 infants which included premature infants (post-conceptual age< 60 weeks), term newborns and neonates posted for elective and emergency lower abdominal surgeries were given single dose caudal epidural anaesthesia under sedation. Results: Our study included neonates who are term, former preterms and low birth weight babies. Male babies are more in the study. Duration of surgery less than 80 min in former preterm and neonates without any complications. No aspiration was reported. No change in cardiovascular parameters was observed. One neonate had a transient apnea with bradycardia responded to tactile stimulus. No post-operative complications like apnea, bradycardia, desaturation were observed. Conclusions: Caudal epidural anaesthesia can be safely performed in former preterm infants and neonates as a sole anaesthetic for lower abdominal surgeries.
Authors and Affiliations
Nalagandla Srinivas Reddy, Cherukuri Sunil Kumar, Aavula Muralidhar
Keywords
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