Document Detail

Spinal anesthesia in pediatric patients.
MedLine Citation:
PMID:  22211775     Owner:  NLM     Status:  MEDLINE    
Spinal anesthesia (SA) in pediatrics began to be used in the late nineteenth century in multiple procedures, with priority for high-risk and former preterm infants, for its suggested protective role compared to the development of postoperative apnea with general anesthesia (GA). In children, higher doses of local anesthetics are required with a shorter duration of action and a greater hemodynamic stability compared to adults. The puncture must be performed in the L4-L5 or L5-S1 spaces to prevent spinal injuries. The practice of SA in pediatric patients requires skill and experience; failure rates of up to 28% have been reported. The drugs most commonly used for SA are tetracaine and bupivacaine alone or with adjuvants. SA complications are rare and often without consequences, except for postdural puncture headaches and backaches. Although SA is today considered safe and effective for pediatric patients, it remains relatively underutilized compared to GA.
T López; F J Sánchez; J C Garzón; C Muriel
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Publication Detail:
Type:  Journal Article; Review     Date:  2011-12-28
Journal Detail:
Title:  Minerva anestesiologica     Volume:  78     ISSN:  1827-1596     ISO Abbreviation:  Minerva Anestesiol     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-01-12     Completed Date:  2012-05-08     Revised Date:  2013-02-25    
Medline Journal Info:
Nlm Unique ID:  0375272     Medline TA:  Minerva Anestesiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  78-87     Citation Subset:  IM    
Department of Anesthesiology, University Hospital of Salamanca, Spain.
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MeSH Terms
Anesthesia, General
Anesthesia, Spinal / adverse effects,  contraindications,  methods*
Anesthetics / administration & dosage
Child, Preschool
Infant, Newborn
Spinal Cord / anatomy & histology,  growth & development
Subarachnoid Space
Reg. No./Substance:
Comment In:
Minerva Anestesiol. 2012 Sep;78(9):1080; author reply 1801   [PMID:  22467051 ]

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

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