Use of spinal anaesthesia in paediatric patients: A single centre experience with 1132 cases

Franco Puncuh, Elisabetta Lampugnani, Hannu Kokki

Research output: Contribution to journalArticlepeer-review


Background: Spinal anaesthesia has been used in children for over 100 years and in the last two decades its popularity for newborns and infants has increased, but there are still unanswered questions with the technique. Methods: We evaluated the characteristics of spinal block including ease of performance, efficacy, adverse effects and complications in 1132 children, aged 6 months to 14 years, undergoing surgery in the lower part of the body. Local ethical committee approved the protocol of this prospective study, and parents gave written informed consent and older children their assent. All patients were sedated with midazolam, thiopental or propofol intravenously during spontaneous ventilation. No inhalation anaesthetics were used. Spinal block was performed with 0.5% hyperbaric bupivacaine at a dose of 0.2 mg·kg-1. Results: Efficacy, safety and ease of performance of the spinal block were shown to be satisfactory in most children. Only 27 of the 1132 children needed any supplementation. The incidence and severity of complications was low. Only nine of 942 children,

Original languageEnglish
Pages (from-to)564-567
Number of pages4
JournalPaediatric Anaesthesia
Issue number7
Publication statusPublished - 2004


  • Anaesthesia: regional
  • Complications
  • Postdural puncture headache
  • Spinal: children

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Pediatrics, Perinatology, and Child Health


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