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2000, Number 1

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Rev Mex Anest 2000; 23 (1)

Spinal anesthesia in children. ¿An option that could be retaken?

Alcantar MJL, Pastrana HE

Language: Spanish
References: 25
Page: 29-33
PDF size: 931.60 Kb.


ABSTRACT

Objectives: Evaluate the characteristics of spinal anesthesia with bupivacaine in children who underwent infradiafragmatic surgeries. Material and Methods: this is a descriptive, prospective and longitudinal trial. We recruited children less than 15 years ASA 1-3. They where premedicated with atropine 10 µg/kg plus ketamine 1 mg/kg. Spinal anesthesia (L1-4) was administered with 0.5% hyperbaric bupivacaine (0.01 mg/kg) in all children. The effectiveness was evaluated by parameters such as lack of sensitivity, motor function, hemodynamic stability, sedation and residual analgesia. EKG traces, blood pressure, heart rate and hemoglobin O2 saturation were evaluated during the study. Results: 24 children 7.79 ± 4.22 years old were studied. Analgesia was excellent in 87.5% and sufficient in 4.17%, and insufficient in 8.33%. In two patients we found tonic-clonic movements after ketamine administration; one case developed deep hypotension and in another several episodes of desaturation were presented. No other complications were associated with spinal anesthesia. Conclusions: Spinal anesthesia is a valuable option of great quality and low risk in pediatric surgery.


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