Spinal anaesthesia for orthopaedic surgery in children with cerebral palsy: Analysis of 36 patients

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dc.contributor.authorOnal, Ozkan
dc.contributor.authorApiliogullari, Seza
dc.contributor.authorGunduz, Ergun
dc.contributor.authorCelik, Jale Bengi
dc.contributor.authorSenaran, Hakan
dc.date.accessioned2020-03-26T19:07:09Z
dc.date.available2020-03-26T19:07:09Z
dc.date.issued2015
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground and Objective: Cerebral palsy is one of the most common childhood neuromuscular diseases in the world. Spinal anaesthesia in children is an evolving technique with many advantages in perioperative management. The aim of this retrospective study was to provide first-hand reports of children with cerebral palsy who underwent orthopaedic surgery under spinal anaesthesia. Methods: Records of the children with cerebral palsy who underwent orthopaedic surgery under spinal anaesthesia between May 2012 and June 2013 at Selcuk University Hospital were investigated. In all patients, lumbar puncture was performed in lateral decubitus position with mask sevoflurane-nitrous oxide anaesthesia. In patients who were calm prior the spinal block, inhalation anaesthesia was terminated. In patients who were restless before the spinal block, anaesthesia was combined with light sevoflurane anaesthesia and a laryngeal mask. From anaesthesia records, the number of attempts required to complete the lumbar puncture, and the success rates of spinal anaesthesia and perioperative complications were noted. Data were expressed as numbers and percentages. Results: The study included 36 patients (20 girls and 16 boys). The mean age was 71 months. The rate of reaching subarachnoid space on first attempt was 86%. In all patients, spinal anaesthesia was considered successful. In 26 patients, laryngeal mask and light sevoflurane anaesthesia were required to maintain ideal surgical conditions. No major perioperative complications were observed. Conclusion: Spinal anaesthesia alone or combined with light sevoflurane anaesthesia is a reliable technique with high success rates in children with cerebral palsy undergoing orthopaedic surgery.en_US
dc.identifier.doi10.12669/pjms.311.5709en_US
dc.identifier.endpage193en_US
dc.identifier.issn1682-024Xen_US
dc.identifier.issue1en_US
dc.identifier.pmid25878641en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage189en_US
dc.identifier.urihttps://dx.doi.org/10.12669/pjms.311.5709
dc.identifier.urihttps://hdl.handle.net/20.500.12395/32569
dc.identifier.volume31en_US
dc.identifier.wosWOS:000349936500038en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherPROFESSIONAL MEDICAL PUBLICATIONSen_US
dc.relation.ispartofPAKISTAN JOURNAL OF MEDICAL SCIENCESen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectSpinal anesthesiaen_US
dc.subjectCerebral palsyen_US
dc.subjectPediatricen_US
dc.subjectOrthopaedic Surgeryen_US
dc.titleSpinal anaesthesia for orthopaedic surgery in children with cerebral palsy: Analysis of 36 patientsen_US
dc.typeArticleen_US

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