Document Detail

Spinal anesthesia reduces the hazard of apnea in high-risk infants.
MedLine Citation:
PMID:  1928994     Owner:  NLM     Status:  MEDLINE    
General anesthesia in premature babies is associated with a significant risk of life-threatening apnea. Spinal anesthesia in the high-risk infant is simple, safe, and effective, but the incidence of apnea with its use has not been previously determined. The total absence of apnea in 84 high-risk infants suggests that surgery below the umbilicus under spinal anesthesia can safely be performed on an outpatient basis in preterm infants or babies with a history of apnea. Ketamine as an adjunctive agent adds no apparent risk. The technique is relatively easy, surgery is not compromised, and parental acceptance is high.
T J Veverka; D N Henry; M J Milroy; M E Snyder; E Fabian; J A Groch; L M Cobb
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  57     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  1991 Aug 
Date Detail:
Created Date:  1991-11-07     Completed Date:  1991-11-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  531-4; discussion 534-5     Citation Subset:  IM    
Department of Surgery, Michigan State University, Lansing 48912.
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MeSH Terms
Anesthesia, General / adverse effects*
Anesthesia, Spinal / standards*
Apnea / diagnosis,  epidemiology*,  etiology
Follow-Up Studies
Gestational Age
Hernia, Inguinal / surgery*
Infant, Newborn
Infant, Premature*
Monitoring, Physiologic / standards
Risk Factors
Treatment Outcome

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

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