Spinal anesthesia for pediatrics

P. De Negri, F. Borrometi, C. Visconti, G. Ivani

Research output: Contribution to journalArticle

Abstract

Spinal anesthesia for pediatrics first appeared at the beginning of 20th century. After an initial period of disuse, it has now gained popularity due to its favorable characteristics such as cardiovascular stability in children less than 5 years of age; satisfactory analgesia and muscle relaxation; the possibility of performing surgical procedures in patients at risk for general anesthesia (ie, formerly preterm infants at risk for postoperative apnea); and the ability to administer small doses of local anesthetic (preferably hyperbaric tetracaine or bupivacaine) with consequent reduced toxic effects. This technique is limited mainly by a relatively short duration of anesthesia (surgical procedures generally cannot last more than 90 min), by the absence of satisfactory postoperative pain control, and obviously by the lack of experience of anesthetist. Postdural puncture headache is rare. Although this technique could appear to be less invasive, we recommend an accurate postoperative control for at least 12 hours.

Original languageEnglish
Pages (from-to)188-193
Number of pages6
JournalTechniques in Regional Anesthesia and Pain Management
Volume2
Issue number4
DOIs
Publication statusPublished - 1998

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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