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.