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
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