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Neonatal anaesthesia: Difference between revisions
→inguinal hernia repair
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''Editors’ note: As this edition of Update goes to press, the editors are aware that the GAS study is reporting its preliminary findings on apnoea comparing GA and spinal in >700 neonates, publication of full results is expected late 2018.'' | |||
Caudal anaesthesia using 0.25% bupivacaine 0.75ml.kg<sup>-1</sup> provides excellent supplementary analgesia for inguinal hernia repair under general anaesthesia. Alternatively, an ilioinguinal block can be performed with 0.5-1.0ml.kg<sup>-1</sup> 0.25% bupivacaine. These patients may require post-operative apnoea monitoring dependent on their PCA, as discussed earlier, and some premature infants will require post-operative ventilation or CPAP for treatment of apnoea. Paracetamol (7.5mg.kg<sup>-1</sup> IV or 20mg.kg<sup>-1</sup> rectal suppository) provides adequate post-operative analgesia | Caudal anaesthesia using 0.25% bupivacaine 0.75ml.kg<sup>-1</sup> provides excellent supplementary analgesia for inguinal hernia repair under general anaesthesia. Alternatively, an ilioinguinal block can be performed with 0.5-1.0ml.kg<sup>-1</sup> 0.25% bupivacaine. These patients may require post-operative apnoea monitoring dependent on their PCA, as discussed earlier, and some premature infants will require post-operative ventilation or CPAP for treatment of apnoea. Paracetamol (7.5mg.kg<sup>-1</sup> IV or 20mg.kg<sup>-1</sup> rectal suppository) provides adequate post-operative analgesia | ||