Document Detail

Postoperative outcome in high-risk infants undergoing herniorrhaphy: comparison between spinal and general anaesthesia.
MedLine Citation:
PMID:  9797520     Owner:  NLM     Status:  MEDLINE    
The incidence of inguinal hernia is higher in premature infants, particularly in low birth weight neonates. This latter group may also incur increased postoperative respiratory complications and inpatient admissions. The purpose of this study was to compare the effects of general and spinal anaesthesia on postoperative respiratory morbidity and on the length of hospital stay in high-risk infants undergoing inguinal herniorrhaphy. Forty patients, all high-risk infants who underwent unilateral or bilateral herniorrhaphies, were randomly assigned to receive general anaesthesia (n = 20) or spinal anaesthesia (n = 20). There was a significant difference in respiratory morbidity between the two groups, as well as a significant difference in the inpatient hospital stay. The present study suggests that spinal anaesthesia can be used safely for high-risk infants, preterm or formerly preterm, undergoing inguinal hernia repair.
M Somri; L Gaitini; S Vaida; G Collins; E Sabo; G Mogilner
Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Anaesthesia     Volume:  53     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  1998 Aug 
Date Detail:
Created Date:  1998-11-04     Completed Date:  1998-11-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  762-6     Citation Subset:  AIM; IM    
Department of Anaesthesia, Bnai Zion Medical Center, Haifa, Israel.
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MeSH Terms
Anesthesia, General / adverse effects*
Anesthesia, Spinal / adverse effects*
Apnea / etiology*
Bradycardia / etiology
Hernia, Inguinal / surgery*
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases / surgery*
Length of Stay
Postoperative Complications
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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