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Related Experiment Videos

Improved outcome utilizing spinal anesthesia in high-risk infants.

K H Sartorelli1, J C Abajian, J M Kreutz

  • 1Division of Pediatric Surgery, University of Vermont College of Medicine, Burlington 05405.

Journal of Pediatric Surgery
|August 1, 1992
PubMed
Summary

Spinal anesthesia in high-risk infants undergoing outpatient procedures is safe and effective. This study found a low complication rate, suggesting it

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Area of Science:

  • Pediatric Anesthesiology
  • Neonatal Surgery

Background:

  • High-risk infants (less than 60 weeks postconceptual age) face significant apnea risk (up to 37%) after general anesthesia, necessitating routine hospital admission.
  • Current practices often lead to prolonged hospital stays for high-risk infants after minor procedures due to anesthesia concerns.

Purpose of the Study:

  • To evaluate the safety and efficacy of spinal anesthesia in high-risk infants undergoing surgical procedures typically performed on outpatients.
  • To determine the complication rates associated with spinal anesthesia in this vulnerable population.

Main Methods:

  • Prospective evaluation of 140 high-risk infants (ASA category ≥2) who received spinal anesthesia.
  • Data collected included gestational age, birth weight, postconceptual age and weight at surgery, anesthesia administration, operation duration, and postoperative complications.

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Main Results:

  • A low overall complication rate of 3.8% was observed, including fever (1.4%), transient bradycardia (1.4%), and one case of apnea (0.7%) in an infant receiving midazolam.
  • Spinal anesthetic administration was difficult in only 4.2% of cases.
  • The study reported a 3.0% minor complication rate and a 0.8% major complication rate.

Conclusions:

  • Spinal anesthesia is a safe and effective anesthetic technique for high-risk infants undergoing outpatient surgical procedures.
  • The findings support the use of spinal anesthesia as an alternative to general anesthesia, potentially reducing the need for routine hospital admission.