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 language | English |
|---|---|
| Pages (from-to) | 188-193 |
| Number of pages | 6 |
| Journal | Techniques in Regional Anesthesia and Pain Management |
| Volume | 2 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 1998 |
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ASJC Scopus subject areas
- Anesthesiology and Pain Medicine
Cite this
Spinal anesthesia for pediatrics. / De Negri, P.; Borrometi, F.; Visconti, C.; Ivani, G.
In: Techniques in Regional Anesthesia and Pain Management, Vol. 2, No. 4, 1998, p. 188-193.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Spinal anesthesia for pediatrics
AU - De Negri, P.
AU - Borrometi, F.
AU - Visconti, C.
AU - Ivani, G.
PY - 1998
Y1 - 1998
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=0031764662&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0031764662&partnerID=8YFLogxK
U2 - 10.1016/S1084-208X(98)80031-1
DO - 10.1016/S1084-208X(98)80031-1
M3 - Article
AN - SCOPUS:0031764662
VL - 2
SP - 188
EP - 193
JO - Techniques in Regional Anesthesia and Pain Management
JF - Techniques in Regional Anesthesia and Pain Management
SN - 1084-208X
IS - 4
ER -