Study of spinal anaesthesia in paediatric age group in rural set-up
Journal Title: Medpulse International Journal of Anesthesiology - Year 2019, Vol 9, Issue 3
Abstract
Background: The commonly adopted method of anaesthesia in children is general anaesthesia (GA) as per the traditional standards. But, in rural set up, where there is lack of finance, high tech monitoring equipment, man power, trained hospital staff, it is very difficult to perform alone under GA, where there is higher incidence of postoperative apnoea, desaturation under GA.1 2 Infants and children are at an increased risk for GA-related complications. Thus, spinal anaesthesia could also be indicated as an alternative to GA. Materials and methodology: The present study was conducted in a rural hospital. All paediatric patients in the age group of 2 years to 15 years, who were given spinal anaesthesia for infraumbilical or lower extremity surgery over a period of 2 years, from January, 2016 to January, 2018, were included in the study. Total sample size was 102 patients. Result: Spinal anaesthesia is safe and an alternative to General anaesthesia in rural set-up. Conclusion: In rural hospital at Chiplun, Maharashtra, where there is lack of facilities makes it very difficult to perform alone under GA. Infants and children are at an increased risk for GA-related complications. Spinal anaesthesia in paediatric population is safe and effective. However, we conclude that accumulated experience is required in order to apply this technique safely in pediatric patients.
Authors and Affiliations
Varsha Vijay Reelkar, Avinash B Pawar
Keywords
Related Articles
- EP ID EP521162
- DOI 10.26611/1015934
- Views 172
- Downloads 0
Efficacy of low dose intrathecal clonidine as an adjuvant to 0.5% hyperbaric bupivacaine for spinal anaesthesia
Background and Aims: Nowadays intrathecally various drugs adjvents are being used for the purpose of enhancing spinal action of local anaesthetic agents hence postoperative analgesia. The aim of this study was to observe...
A comparative study between ketamine nebulization and betamethasone gel applied over the endotracheal tube cuff for reduction of post-operative sore throat
Background: Endotracheal intubation is necessary in general anesthesia (GA) to control respiration and to protect airway. Larynx and trachea are the most common sites of injury during intubation and usually manifested as...
A comparative study of 0.5% bupivacaine and 0.5% levobupivacaine in supraclavicular block in a tertiary care hospital
Background: supraclavicular brachial plexus block have assumed important role in modern anaesthesia practice as they provide ideal effective conditions without any general anaesthesia or adverse haemodynamic effects. Whi...
A prospective randomised double blind clinical comparative study of ramosetron hydrochloride and dexamethasone versus ondansetron hydrochloride and dexamethasone in prevention of post operative nausea and vomiting in patients undergoing gynaecological surgeries under spinal anaesthesia
Background: Postoperative nausea and vomiting (PONV) is one of the most unpleasant and distressing symptoms which follow anaesthesia and surgery. Patients undergoing gynaecological surgery have been associated with high...
Study of effect of spinal anaesthesia on perioperative hyperglycemia in non-diabetic patients undergoing lower limb orthopaedic surgeries
Background and Aims: The stress of surgery results in increased levels of gluco-regulatory hormones and excessive release of inflammatory cytokines. The counter-regulatory esponse produces alterations in carbohydrate met...