Regional (spinal, epidural, caudal) versus general anaesthesia in preterm infants undergoing inguinal herniorrhaphy in early infancy

Craven, P. D.; Badawi, Nadia; Henderson‐Smart, David J; O'Brien, Michele

doi:10.1002/14651858.cd003669

Cited by 98 publications

(65 citation statements)

References 11 publications

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“…Indeed, Craven et al published a Cochrane Collaboration analysis in which only 108 patients from 4 small randomized or quasi-randomized studies comparing spinal and general anesthesia were identified. 44 The authors concluded that there was no evidence that spinal anesthesia was associated with a reduction in postoperative apnea, bradycardia, or oxygen desaturation. Furthermore, the authors concluded that a large, randomized controlled trial was necessary to determine whether spinal anesthesia reduces postoperative cardiorespiratory complications; to date, no such study has been reported.…”

Section: Rationale and Timing For Elective Inguinal Hernia Repair In mentioning

confidence: 99%

Assessment and Management of Inguinal Hernia in Infants

Wang¹,

Papile²,

Baley³

et al. 2012

Pediatrics

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Inguinal hernia repair in infants is a routine surgical procedure. However, numerous issues, including timing of the repair, the need to explore the contralateral groin, use of laparoscopy, and anesthetic approach, remain unsettled. Given the lack of compelling data, consideration should be given to large, prospective, randomized controlled trials to determine best practices for the management of inguinal hernias in infants.

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Section: Rationale and Timing For Elective Inguinal Hernia Repair In mentioning

confidence: 99%

Assessment and Management of Inguinal Hernia in Infants

Wang¹,

Papile²,

Baley³

et al. 2012

Pediatrics

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“…Only 27 systematic reviews were read in full text, but 9 were excluded because they were not compatible with the inclusion criterion, and 8 were published in more than one journal or cited more than once in databases. This process left us with 10 systematic reviews for qualitative analysis [8][9][10][11][12][13][14][15][16][17] . Kappa statistics for screening systematic reviews was 0.82.…”

Section: Resultsmentioning

confidence: 99%

Anestesia neuroaxial comparada à anestesia geral para procedimentos na metade inferior do corpo: revisão sistemática de revisões sistemáticas

Barbosa¹,

Castro²,

Miranda³

2012

Rev. Bras. Anestesiol.

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Background and objectives: Systematic reviews organize literature data by combining results from published studies in order to resolve conflicts in the area of medical knowledge describing the interventions. The inadequate reporting of systematic reviews can damage the credibility and interfere in the results' quality. The objective of this study was to determine the frequency of good quality systematic reviews comparing neuraxial anesthesia with general anesthesia for procedures on the lower half of the body.

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“…We avoided general anesthesia, due to this knowledge. However, Craven et al have claimed that there was no reliable evidence in the reviewed trials concerning the effect of spinal anesthesia on the incidence of postoperative apnea, bradycardia, or oxygen desaturation in ex-preterm preterm infants undergoing hernia repair, when compared to general anesthesia [7] this issue is controversial.…”

Section: Discussionmentioning

confidence: 99%

Caudal Anesthesia in a Neonate with Dandy-Walker Syndrome

2015

J Syndr

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Dandy-Walker Syndrome (DWS) is an intrauterine developmental anomaly, which consists of 4-12% of all infants having hydrocephalus its prevalence is 1/30000 in all live births [1,2]. Cranio-facial anomalies such as cleft lip and palate, micrognathia and hypertelorism, together with cardiac and renal anomalies, limb anomalies (syndactyly, polydactyly, etc.) and vertebral anomalies can all be detected in patients with DWS. They may have to undergo a single operation or a series of operations during their childhood period, related to these anomalies. Additionally, these patients may present with features of a difficult airway, together with neurological disorders such as increased intracranial pressure and brain stem dysfunction. All of these situations create numerous serious challenges to the anesthesiologist [3,4]. We were unable to meet any report published in the literature, related to the anesthetic management of patients with DWS until now. We aimed to present our anesthetic management, in a newborn male patient with Dandy-Walker Syndrome, in whom we used caudal block for umbilical cord hernia repair.

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Regional (spinal, epidural, caudal) versus general anaesthesia in preterm infants undergoing inguinal herniorrhaphy in early infancy

Cited by 98 publications

References 11 publications

Assessment and Management of Inguinal Hernia in Infants

Assessment and Management of Inguinal Hernia in Infants

Anestesia neuroaxial comparada à anestesia geral para procedimentos na metade inferior do corpo: revisão sistemática de revisões sistemáticas

Caudal Anesthesia in a Neonate with Dandy-Walker Syndrome

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