| Spinal anesthesia in pediatric patients. | |
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MedLine Citation:
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PMID: 22211775 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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T López; F J Sánchez; J C Garzón; C Muriel |
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Publication Detail:
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Type: Journal Article; Review Date: 2011-12-28 |
Journal Detail:
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Title: Minerva anestesiologica Volume: 78 ISSN: 1827-1596 ISO Abbreviation: Minerva Anestesiol Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-01-12 Completed Date: 2012-05-08 Revised Date: 2013-02-25 |
Medline Journal Info:
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Nlm Unique ID: 0375272 Medline TA: Minerva Anestesiol Country: Italy |
Other Details:
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Languages: eng Pagination: 78-87 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, University Hospital of Salamanca, Spain. teresina1234@hotmail.es |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Anesthesia, General Anesthesia, Spinal / adverse effects, contraindications, methods* Anesthetics / administration & dosage Child Child, Preschool Humans Infant Infant, Newborn Spinal Cord / anatomy & histology, growth & development Subarachnoid Space |
| Chemical | |
Reg. No./Substance:
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0/Anesthetics |
| Comments/Corrections | |
Comment In:
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Minerva Anestesiol. 2012 Sep;78(9):1080; author reply 1801
[PMID:
22467051
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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