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Paediatric spinal anaesthesia: Difference between revisions
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Spinal anaesthesia consists of inserting a spinal needle into the subarachnoid space and, when a free flow of cerebrospinal fluid (CSF) is obtained, injection of a solution of local anaesthetic directly into the CSF. | Spinal anaesthesia consists of inserting a spinal needle into the subarachnoid space and, when a free flow of cerebrospinal fluid (CSF) is obtained, injection of a solution of local anaesthetic directly into the CSF. | ||
Spinal anaesthesia (SA) was first described in children in 1909<ref>Tyrell-Gray H. A study of spinal anaesthesia in children and infants. | Spinal anaesthesia (SA) was first described in children in 1909<ref>Tyrell-Gray H. A study of spinal anaesthesia in children and infants. | ||
Lancet 1909; 2: 913-7</ref><sup></sup> but did not become part of routine practice until the 1980’s when regional anaesthesia increased in popularity. The particular advantage suggested for SA in children was the avoidance of general anaesthesia (GA) in those at risk of postoperative apnoea. Several studies demonstrated that SA had a particular role in high-risk former preterm neonates undergoing inguinal herniorraphy.<ref> | Lancet 1909; 2: 913-7</ref><sup></sup> but did not become part of routine practice until the 1980’s when regional anaesthesia increased in popularity. The particular advantage suggested for SA in children was the avoidance of general anaesthesia (GA) in those at risk of postoperative apnoea. Several studies demonstrated that SA had a particular role in high-risk former preterm neonates undergoing inguinal herniorraphy.<ref>Abajian JC, Mellish RW, Browne AF, Perkins FM, Lambert DH, Mazuzan JE. Spinal anesthesia for surgery in the high risk infant. Anesth Analg 1984; 63: 359-62.</ref><sup></sup> | ||
== APPLICATIONS OF SPINAL ANAESTHESIA == | == APPLICATIONS OF SPINAL ANAESTHESIA == | ||