Study of Spinal Anaesthesia In Children Undergoing Lower Abdominal And Lower Limb Surgery With 0.5 % Bupivacaine(heavy)

Authors

  •   D. Srinivasalu D.N.B., Professor, Department of Anaesthesiology & Critical Care Vijayanagar Institute of Medical Sciences (VIMS) Bellary
  •   S. Bala Bhaskar D.N.B., Associate Professor, Department of Anaesthesiology & Critical Care Vijayanagar Institute of Medical Sciences (VIMS) Bellary
  •   A. Srinivasamurthy M.D., Professor, Department of Anaesthesiology & Critical Care Vijayanagar Institute of Medical Sciences (VIMS) Bellary
  •   S. S. Harsoor M.D., Principal, Professor and Head Department of Anaesthesiology & Critical Care Vijayanagar Institute of Medical Sciences (VIMS) Bellary

Keywords:

Paediatrics, Spinal Anaesthesia, Bupivacaine Heavy, Complications

Abstract

Spinal anaesthesia in paediatric patients is becoming popular following better understanding of physiology and reports of its safe use in large number of studies. We administered hyperbaric bupivacaine in paediatric patients posted for lower extremity surgeries and intraoperative parameters and events were recorded. There was no incidence of hypotension and two patients had bradycardia. Average duration of sensory blockade and motor blockade was around one hour. It is concluded that spinal anaesthesia with 0.5% Bupivacaine (heavy) in children is effective in terms of ease of the technique , fast and reliable blockade, stable haemodynamics and lesser incidence of complications but is suitable for surgeries lasting for less than one hour duration.

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Published

2007-01-01

How to Cite

Srinivasalu, D., Bala Bhaskar, S., Srinivasamurthy, A., & Harsoor, S. S. (2007). Study of Spinal Anaesthesia In Children Undergoing Lower Abdominal And Lower Limb Surgery With 0.5 % Bupivacaine(heavy). Karnataka Anaesthesia Journal, 8(1), 1–4. Retrieved from http://karnatakaanesthesiajournal.in/index.php/kaj/article/view/143341

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References

H.Kokki, K. Tuovinen and H.Hendolin : Spinal anaesthesia for paediatric day casesurgery: a double blind, randomised, parallel group, prospective comparison of isobaric and hyperbaric bupivacaine; BJA; 1998; 81: 502-506

Etsuro K Motoyama, Peter J Davies : Editors ; Pain Management in infants and children; Smith's Anaesthesia for infants and children; Seventh Edition; 441; Mosby Elsevier

H.kokki, Spinal anaesthesia in infants and children BaUiere's clinical anaesthesiology 14, 2000, 687707

J.Tobias, Spinal anaesthesia in infants and children.Paediatric Anaesthesia; 10 ; 2000, 5 -16

D.A.Rowney and E.Doyle, Epidural and subarachnoid blockade in children. Anaesthesia; 53 1998, 980- 1001

Robert KW, David CA, Joseph MK et al. The safety and efficacyof spinal anaesthesia for surgery in infants :The infant spinal registry, Anaesth.analg.2006; 102; 6 7 - 71

B.Sarihasan, S Baris, Fyesiltas et al.. Spinal anaesthesia in children with rectal premedication with midazolam, Ketamine, and Atropine ; Turkish Journal of medical sciences; 29; 1999, 467-470

Hasan MA, Howard RF, Lloyf- Thomas AR: Depth of the epidural space in children: Anaesthesia 49:1085 -1087, 1998

H.Kokki, BM Paula, Heikldnen etal Levobupivacaine for pediatric spinal anaesthesia ; Anaesth.Analg.; 98(1) 2004, 64-67

H.Kokki and H.Hendolin : Hyperbaric bupivacaine for spinal anaesthesia in 7- 12 yr children; comparison of bupivacaine 5nig/ml in 0.9% and 8% glucose solution: BJA, 84(1) 2000: 59-62