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Paediatric spinal anaesthesia: Difference between revisions
→TECHNIQUE OF SA IN CHILDREN
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A free flow of cerebrospinal fluid should be obtained when the spinal needle is advanced into the intrathecal space. The local anaesthetic syringe is attached and the anaesthetic solution is injected over 30 seconds (Figure 3). The legs should not be lifted after the spinal injection has been administered, otherwise an excessively high block will develop. | A free flow of cerebrospinal fluid should be obtained when the spinal needle is advanced into the intrathecal space. The local anaesthetic syringe is attached and the anaesthetic solution is injected over 30 seconds (Figure 3). The legs should not be lifted after the spinal injection has been administered, otherwise an excessively high block will develop. | ||
Figure 3. Lumbar puncture and LA injection with 1ml syringe | [[File:LumbarPuntureforSA.jpg|left|thumb|500x500px|Figure 3. <i>Lumbar puncture and LA injection with 1ml syringe</i>]] | ||
SA may produce a degree of sedation in newborns and infants so additional intravenous sedation is not required.15 Intravenous sedation should be avoided if at all possible in infants at risk of apnoea. We find that a dummy dipped in sucrose or honey will help to settle these infants. | SA may produce a degree of sedation in newborns and infants so additional intravenous sedation is not required.15 Intravenous sedation should be avoided if at all possible in infants at risk of apnoea. We find that a dummy dipped in sucrose or honey will help to settle these infants. | ||