A Study of Spinal Anaesthesia in Paediatric patients of aged 2-8 years

Bule, Sanjay S

doi:10.18535/jmscr/v5i3.149

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…In the present study, we recorded longer duration of analgesia with caudal than spinal group, which is comparable to Blaise and Roy [9] . In agreement with the present study, Williams et al [10] showed that spinal anesthesia is associated with 90 minutes duration of analgesia after spinal approach in children, which limits its use for longer surgeries.…”

Section: Dohi and Seinosupporting

confidence: 92%

Spinal Versus Caudal Anesthesia in Lower Abdominal Surgeries in Pediatrics

Al-Kershawy

El-Din

Abdelsalam

et al. 2020

International Journal of Medical Arts

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Background: Regional anesthesia in pediatric surgery alone or combination with light general anesthesia provides several advantages, the most significant is intra-and post-operative pain relief. Aim of the work: This study aimed to compare spinal to caudal anesthesia in children undergoing lower abdominal surgeries regarding [sensory and motor block as a primary outcome], hemodynamics and postoperative pain as a secondary outcome. Patients and Methods: This study was a prospective randomized comparative clinical single-blind study. It included 40 children [ASA I or II] of both sexes, aged [3-9 years] undergoing lower abdominal surgeries. Patients were randomly assigned into one of two groups [20 patients in each group]. group [S] undergo spinal anesthesia, group [C] undergoes caudal anesthesia. To assess the following parameters; sensory and motor block, heart rate, mean arterial blood pressure and postoperative pain. Results: Spinal anesthesia has a rapid onset of sensory block, more intensity than caudal anesthesia, but of shorter duration. Caudal anesthesia provides more time of motor block than spinal anesthesia. There was no statistically significant difference between groups regarding mean arterial pressure, but caudal anesthesia has more tachycardia than spinal anesthesia, and caudal anesthesia provides better postoperative analgesia more than spinal anesthesia. Conclusion: Regional anesthesia in pediatrics is an effective and safe option. Caudal and spinal are both effective, however caudal have relatively more duration of postoperative analgesia and motor block than spinal anesthesia.

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Section: Dohi and Seinosupporting

confidence: 92%

Spinal Versus Caudal Anesthesia in Lower Abdominal Surgeries in Pediatrics

Al-Kershawy

El-Din

Abdelsalam

et al. 2020

International Journal of Medical Arts

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“…Inexperience in paediatric CNB and misconceptions might be the reason for the less numbers. [ 15 16 ] Spinal anaesthesia was the most commonly administered CNB. Bupivacaine was administered in 95.53% patients and fentanyl was the adjuvant of choice as observed in other studies.…”

Section: Discussionmentioning

confidence: 99%

Major neurological complications following central neuraxial blockade – A multicentre pilot study in Aurangabad city (MGMA CNB Study)

et al. 2021

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Background and Aims: Incidence of major neurological complications following central neuraxial blockade (CNB) in India is not known. This information is essential for explaining risk preoperatively to patients and for medico-legal purposes. This study was undertaken to assess feasibility (recruitment process, protocol adherence, resources mobilisation, data management and evaluation of scientific outcome) for planning multicentric studies on major neurological complications following CNB at state/national level. Methods: This was a hospital-based, multicentre pilot study, with cross-sectional and follow-up components. Patients receiving CNB either perioperatively or during acute/chronic pain management were included in the study. Thirty-six randomly selected tertiary and nontertiary care institutes were included. Details of demographic information, CNB procedure and major neurological complications were collected anonymously via online tools. Feedback about study feasibility was collected from participating anaesthesiologists and study team. Results: Selected institutes continued participation throughout study period. About 99.98% of eligible patients were enroled. Complete data collection of 8053 patients and analysis was possible. Regular reminders from study coordinators helped to optimise data collection. Tertiary care institutes contributed to 74.50% of data. About 64.96% patients were females. Spinal anaesthesia was the most frequently used neuraxial block (93.41%). Bupivacaine and adjuvant were used in 95.53% and 16.5% patients, respectively. Two patients developed cardiac arrest and cause-effect relationship with CNB was established. Participants’ recruitment, protocol adherence, resources mobilisation, data management and evaluation of scientific outcomes were feasible. Conclusion: A multicentre state/nationwide study can be conducted based on this first-of-its-kind pilot study in India.

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A Study of Spinal Anaesthesia in Paediatric patients of aged 2-8 years

Cited by 2 publications

References 3 publications

Spinal Versus Caudal Anesthesia in Lower Abdominal Surgeries in Pediatrics

Spinal Versus Caudal Anesthesia in Lower Abdominal Surgeries in Pediatrics

Major neurological complications following central neuraxial blockade – A multicentre pilot study in Aurangabad city (MGMA CNB Study)

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