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Paediatric spinal anaesthesia: Difference between revisions
→COMPLICATIONS OF SA
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:• Respiratory (+/-cardiovascular) insufficiency due to high SA or secondary to intravenous sedation. Resuscitation measures must be taken (ABC) - tracheal intubation and volume resuscitation may be required. | :• Respiratory (+/-cardiovascular) insufficiency due to high SA or secondary to intravenous sedation. Resuscitation measures must be taken (ABC) - tracheal intubation and volume resuscitation may be required. | ||
:• Convulsions due to overdose of local anaesthetic. All doses should be calculated carefully and checked with another practitioner. | :• Convulsions due to overdose of local anaesthetic. All doses should be calculated carefully and checked with another practitioner. | ||
:• Postduralpunctureheadache. Thishasbeenreportedinchildren>8 years old, but the incidence in younger children is unknown, in part since headaches in infants and young children are difficult to assess.<ref name=":5" /><sup>,</sup><ref> | :• Postduralpunctureheadache. Thishasbeenreportedinchildren>8 years old, but the incidence in younger children is unknown, in part since headaches in infants and young children are difficult to assess.<ref name=":5" /><sup>,</sup><ref>Wee LH, Lam F, Cranston AJ. The incidence of post dural puncture headache in children. Anaesthesia 1996; 51: 1164-6.</ref><sup>,</sup> | ||
:• Infectious complications such as meningitis. The incidence of meningitis is very low – careful aseptic technique must be used at all times and multidose ampuoles of local anaesthetic must never be used. We suggest repeating lumbar puncture in patients who develop fever after SA.4,5 | :• Infectious complications such as meningitis. The incidence of meningitis is very low – careful aseptic technique must be used at all times and multidose ampuoles of local anaesthetic must never be used. We suggest repeating lumbar puncture in patients who develop fever after SA.4,5 | ||
:• Neurological injury due to injection of incorrect solutions. Great care must be taken at all times in preparation and checking of drugs. | :• Neurological injury due to injection of incorrect solutions. Great care must be taken at all times in preparation and checking of drugs. | ||