Spinal anaesthesia in infants born prematurely

Gallagher, T. M.; Crean, Peter

doi:10.1111/j.1365-2044.1989.tb11348.x

Cited by 44 publications

(20 citation statements)

References 19 publications

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“…40 To reduce the incidence of postoperative apnea, spinal, rather than general, anesthesia has been used for inguinal hernia repair in preterm infants. [41][42][43] Although some studies have been encouraging, none have been adequately powered. 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.…”

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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“…Paralysed muscles bulge outwards while unparalysed muscles contact inward during expiration with the level of anaesthesia being several dermatomes cephalad to the level of muscle relaxation [139]. Observation of the disappearance of the withdrawal response caused by tetanic stimulation from a peripheral nerve stimulator has also been used [150,151]. A variety of drugs and dosages have been described for subarachnoid anaesthesia in children ( Table 5).…”

Section: Anatomymentioning

confidence: 99%

Epidural and subarachnoid blockade in children

Rowney

Doyle

1998

Anaesthesia

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“…Several authors have used single dose subarachnoid or caudal epidural anaesthesia in expremature babies having perineal or simple lower abdominal operations (Gallagher & Crean 1989;Gunter et al 1991;Sartorelli et al 1992). These blocks have a limited but variable duration of action which Heart rate during combined subarachnoid-epidural anaesthesia.…”

Section: Discussionmentioning

confidence: 98%

Combined spinal and epidural anaesthesia for inguinal hernia repair in babies

Peutrell

Hughes

1994

Pediatric Anesthesia

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We describe combined subarachanoid-epidural anaesthesia for inguinal herniotomy in eight ex-premature babies less than 47 weeks postconception and one full-term baby aged 21 weeks who had Pierre-Robin syndrome. No additional anaesthetic supplements were needed during surgery. Motor block was profound and operating conditions were excellent. One baby had brief self-limiting bradycardias shortly after lumbar puncture. A second baby with severe bronchopulmonary dysplasia had recurrent oxygen desaturations associated with apnoea during surgery. There were no other intra-or postoperative complications. All babies were fed immediately on return to the ward. We conclude that combined subarachoid-epidural anaesthesia is a satisfactory technique for anaesthesia for inguinal herniotomy in babies at risk of apnoea after surgery.

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Spinal anaesthesia in infants born prematurely

Abstract: Summary

Cited by 44 publications

References 19 publications

Assessment and Management of Inguinal Hernia in Infants

Assessment and Management of Inguinal Hernia in Infants

Epidural and subarachnoid blockade in children

Combined spinal and epidural anaesthesia for inguinal hernia repair in babies

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