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Paediatric spinal anaesthesia: Difference between revisions
→APPLICATIONS OF SPINAL ANAESTHESIA
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== APPLICATIONS OF SPINAL ANAESTHESIA == | == APPLICATIONS OF SPINAL ANAESTHESIA == | ||
SA remains popular for ex-premature infants, specifically those undergoing inguinal herniorraphy. These patients often have a history of apnoea of prematurity, bronchopulmonary dysplasia and chronic lung disease. The incidence of postoperative apnoeas correlates with gestational age at birth, the post-conceptional age at surgery, weight, anaemia and a history of apnoeas. General anaesthesia increases the risk of apnoea and bradycardia, and ex-premature infants remain at risk until after 60 weeks post- conception.<ref> | SA remains popular for ex-premature infants, specifically those undergoing inguinal herniorraphy. These patients often have a history of apnoea of prematurity, bronchopulmonary dysplasia and chronic lung disease. The incidence of postoperative apnoeas correlates with gestational age at birth, the post-conceptional age at surgery, weight, anaemia and a history of apnoeas. General anaesthesia increases the risk of apnoea and bradycardia, and ex-premature infants remain at risk until after 60 weeks post- conception.<ref>Welborn LG, Rice LJ, Hannalah RS, Broadman LM, Ruttimann VE, Fink R. Post-operative apnea in former infants: prospective comparison of spinal and general anesthesia. Anesthesiology 1990; 72: 838-42.</ref><sup>,</sup><ref>Tobias JD. Spinal anaesthesia in infants and children. Paediatric Anaesth 2000; 10: 5-16.</ref> | ||
Outside the neonatal period, SA has been used for general surgery (rectal biopsy, incision of rectal abscess), urological surgery (orchidopexy, circumcision), lower limb orthopaedic surgery,5 and may be of particular use in developing countries as an alternative to general anaesthesia. | Outside the neonatal period, SA has been used for general surgery (rectal biopsy, incision of rectal abscess), urological surgery (orchidopexy, circumcision), lower limb orthopaedic surgery,5 and may be of particular use in developing countries as an alternative to general anaesthesia. | ||