A prospective study to evaluate the feasibility of spinal anaesthesia in neonates
Dr. Manish Banjare, Singh Shalendra
Background: Spinal anaesthesia in neonates has been advocated mainly for pre term with associated respiratory complications, with experience we will be acquainted with its safety and technical viability..
Aims and Objectives: The present study was designed to evaluate the success rate, hemodynamic stability and feasibility of spinal anaesthesia in neonate aged 0-28 days.
Material and Methods: The present study was conducted on50 patients in MGM Medical College and M.Y Hospital, Indore. The subjects were of age 0-28 days and were planned for various abdominal and lower limb surgeries. Hyperbaric bupivacaine 0.5%in a dose of 0.5mg/kg in L4-L5space was used to administer spinal anaesthesia after taking all aseptic precautions under ketamine sedation. The following parameters were noted Vitals, number of attempts, sensory-motor block characteristics and complications if any.
Results: The success rate of Spinal anaesthesia was 46(96%) while failure was 4(4%) and was thus taken under General Anaesthesia. In 1st attempt Lumbar puncture was successful in 35(85%) while in second attempt success rate was 15(15%).There was no significant change in vital parameters .Complete sensory and motor blockade recovery was in all patients.
Conclusion: Neonatal spinal is a safe and effective technique with good success rate .It has short duration of action which in itself helps in early recovery, without need of assisted ventilation.
Dr. Manish Banjare, Singh Shalendra. A prospective study to evaluate the feasibility of spinal anaesthesia in neonates. International Journal of Medicine Research, Volume 3, Issue 1, 2018, Pages 85-87