Anesthesia supplemented with subarachnoid bupivacaine and morphine for coronary artery bypass surgery in a child with Kawasaki disease

Kowalewski, Richard; MacAdams, Charles; Froelich, Jennifer; Neil, Stuart G.; Maitland, Andrew

doi:10.1016/s1053-0770(96)80246-1

Cited by 14 publications

(5 citation statements)

References 27 publications

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“…The majority of the reports describe a single shot technique thereby limiting application to procedures lasting 90 min. In addition, spinal anaesthesia has been combined with general anaesthesia as a means of limiting the intraoperative use of opioids, blunting the surgical stress, and perhaps allowing for earlier tracheal extubation ( 25, 26, 30, 31, 50).…”

Section: Discussionmentioning

confidence: 99%

“…Two reports outline the use of spinal anaesthesia combined with tracheal intubation + general anaesthesia during cardiothoracic surgical procedures ( 30, 31). Williams and Abajian used spinal anaesthesia during patent ductus arteriosus ligation in 14 neonates with a postconceptional age ranging from 28–41 weeks and weight ranging from 650–2965 g ( 30).…”

Section: Specific Applications Of Spinal Anaesthesiamentioning

confidence: 99%

“…Kowalewski et al . described the use of intrathecal bupivacaine (30 mg) and morphine in combination with general anaesthesia during coronary artery bypass surgery in a 10‐year‐old child with Kawasaki disease ( 31). Intrathecal bupivacaine was administered at the L3–4 interspace using a 25‐gauge Whitacre needle and the patient was placed in 20° Trendelenburg position for 15 min.…”

Section: Specific Applications Of Spinal Anaesthesiamentioning

confidence: 99%

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Spinal anaesthesia in infants and children

Tobias

2000

Pediatric Anesthesia

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Section: Discussionmentioning

confidence: 99%

Section: Specific Applications Of Spinal Anaesthesiamentioning

confidence: 99%

Section: Specific Applications Of Spinal Anaesthesiamentioning

confidence: 99%

See 1 more Smart Citation

Spinal anaesthesia in infants and children

Tobias

2000

Pediatric Anesthesia

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“…Likewise none of these children having general anesthesia had perioperative serial troponin measurements (19). The reports describing anesthesia for coronary artery bypass (20, 21) and cardiac transplantation surgery following KS (22) illustrate the severity of the myocardial implications of KS.…”

Section: Discussionmentioning

confidence: 99%

A 15‐year review of children with Kawasaki's Syndrome having general anesthesia or deep sedation

Morrison¹,

Anderson²,

Chan

et al. 2005

Pediatric Anesthesia

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The high incidence of serious myocardial complications attributable to KS reported in the pediatric literature is rarely noted in the anesthesia literature. We feel there is a potential for more serious perioperative complications among KS children, although we can only speculate why complications are not more frequently encountered. Anesthetists involved in pediatric services are encouraged to consider KS in their diagnosis of children presenting with febrile illnesses with rashes and to consider the possibility of KS myocardial compromise if they encounter unexpected deterioration perioperatively. Preoperative ultrasound examination and perioperative monitoring (e.g. ST segment analysis and troponin measurements) for myocardial compromise are encouraged if KS is suspected.

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“…It is ideal for day case surgeries and is safe&cost-effective. Spinal anaesthesia has gained acceotance for children undergoing surgery in sub-umbilical region 36 .…”

Section: Table-vii Per-operative Complicationsmentioning

confidence: 99%

Comperative Study between Caudal & Subarachnoid Block in Children for Sub-Umbilical Surgery

Mia

Hasanat

Arefin

et al. 2022

Bangla J. Neurosurgery

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Background: Caudal block has slower onset and is frequently practiced as a supplemental but Sabarachnoid block has rapid onset and with good haemodynamic stabilityin children but there remains some hesitation in its use.affectivenes of subarachnoid block Objectives: To compare the time of onset of sensory block, its haemodynamic stability andaffectivenes of subarachnoid block in children for subumbilical surgery. Methods: In this study 60 patients who fulfilled the eligibility criteria were chosen and the procedure was explained to the patient’s attendant. After obtaining written and informed consent, patients were randomized into two equal groups of 30 each. Group-S was given spinalanaesthesia with 0.5% hyperbaric bupivacaine in a dose of 0.4mg/kg over 10 secends. Group-C was given caudal block with 0.25%plain bupivacaine 2mg/kg in volume of 1ml/kg. Patients were observed for time and duration of onset&level of sensory block, need ofadjuvants, hemodynamics condition and per-operative complications if any. Results: The study showed rapid onset of sensory block in Group-S without any supliment and with a good haemodynamics stability. Sensory level block achieved in more than 90% cases of group-S wasT6 while in group-C it was T8 level in 64% cases. No major per-operative complications occurred in either group. Conclusion: The anaesthesiologists who care for infants and children during their practice should have option for spinal anaesthesia as an alternative to general anaesthesia forshort surgical procedures below umbilicus requiring immediate relaxation. Bang. J Neurosurgery 2022; 11(2): 101-106

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Anesthesia supplemented with subarachnoid bupivacaine and morphine for coronary artery bypass surgery in a child with Kawasaki disease

Cited by 14 publications

References 27 publications

Spinal anaesthesia in infants and children

Spinal anaesthesia in infants and children

A 15‐year review of children with Kawasaki's Syndrome having general anesthesia or deep sedation

Comperative Study between Caudal & Subarachnoid Block in Children for Sub-Umbilical Surgery

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