Spinal anesthesia in children: A single-center experience of 371 cases [ÇocukIarda spinai anestezi: Tek merkezin 371 oiguiuk deneyimi]

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dc.contributor.authorApilio?ullari S.
dc.contributor.authorGök F.
dc.contributor.authorDuman A.
dc.date.accessioned2020-03-26T18:05:48Z
dc.date.available2020-03-26T18:05:48Z
dc.date.issued2010
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractAim: 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.en_US
dc.identifier.doi10.5222/JTAICS.2010.339en_US
dc.identifier.endpage347en_US
dc.identifier.issn1304-0871en_US
dc.identifier.issue5en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage339en_US
dc.identifier.urihttps://dx.doi.org/10.5222/JTAICS.2010.339
dc.identifier.urihttps://hdl.handle.net/20.500.12395/25542
dc.identifier.volume38en_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.relation.ispartofTurk Anesteziyoloji ve Reanimasyon Dernegi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectAnesthesiaen_US
dc.subjectChildrenen_US
dc.subjectFentanylen_US
dc.subjectMorphineen_US
dc.subjectSpinalen_US
dc.titleSpinal anesthesia in children: A single-center experience of 371 cases [ÇocukIarda spinai anestezi: Tek merkezin 371 oiguiuk deneyimi]en_US
dc.typeArticleen_US

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