Spinal anesthesia in children: A single-center experience of 371 cases [ÇocukIarda spinai anestezi: Tek merkezin 371 oiguiuk deneyimi]
Küçük Resim Yok
Tarih
2010
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Aim: In children, spinal anaesthesia (SA) seems to be preferred for complex cases rather than routine surgical procedures. However, its' use in children is as simple, safe, and inexpensive as it is in adults. The aim of this study is to present our experiences concerning the efficacy and safety of SA for routine surgical procedures in children. Material and Method: The files of 371 patients who underwent surgery under spinal anesthesia between the years 2007 to 2009 at Konya Dr. Faruk Sükan Do?um ve Çocuk Hastanesi were retrospectively analyzed. SA was performed using hyperbaric bupivacaine with either 27 G pencil point or 26 G cutting point needles. Fentanyl 0.2 ?g kg-1 or morphine 2 ?g kg-1 or both of them were used as adjuvants for bupivacaine. Demographic data, technical data, and complications were evaluated. Results: The mean age was 6 years (1yr-17yrs). Successful SA was achieved in 94 % at the first attempt. Intravenous sedation was required in 26 % of children during the operation. Intraoperative conversion to general anesthesia was necessary in ten patients (2.7 %). Fentanyl was used in 134 patients, morfin was used in 50 patients, both fentanil and morfin were used in 40 patients as adjuvants. The main side effect was high spinal block which occurred in three patients (0.8 %). No severe neurological and cardiovascular side effects were reported. Conclusion: SA with hyperbaric bupivacaine is a safe, effective and feasible anesthetic method in children. Fentanyl 0.2 ?g kg-1 and and morphine 2 ?g kg-1 are valuable for intrathecal analgesia in children.
Açıklama
Anahtar Kelimeler
Anesthesia, Children, Fentanyl, Morphine, Spinal
Kaynak
Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
38
Sayı
5
