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Risk factors for spinal anesthesia in preterm infants undergoing inguinal hernia repair

Ze'ev Shenkman1, Ilan Erez, Enrique Freud

  • 1Department of Anesthesia, Sheba Medical Center, Tel Hashomer, Israel.

Jornal De Pediatria
|May 25, 2012
PubMed

Insights

Spinal anesthesia is safe for preterm infants undergoing hernia repair, with low complication rates. However, conditions like bronchopulmonary dysplasia increase risks for adverse outcomes.

Area of Science:

  • Pediatric Anesthesiology
  • Neonatal Surgery

Background:

  • Spinal anesthesia is increasingly used for neonatal surgery.
  • Preterm infants may have unique risks associated with anesthesia.

Purpose of the Study:

  • To determine the incidence of perioperative adverse effects of spinal anesthesia in preterm infants undergoing inguinal hernia repair.
  • To identify risk factors for unfavorable outcomes and evaluate feeding and discharge times.

Main Methods:

  • Prospective data collection from preterm and former preterm infants undergoing inguinal hernia repair with spinal anesthesia.
  • Analysis of intraoperative and postoperative complications, and time to oral feeding and discharge.

Main Results:

  • Six (4.2%) intraoperative complications (apnea, bradycardia, hypoxemia) and 15 (10.4%) postoperative complications were observed.
  • Bronchopulmonary dysplasia (OR=3.2) and periventricular leukomalacia (OR=2.8) were significant predictors of unfavorable outcomes.

Conclusions:

  • Spinal anesthesia is safe and effective for inguinal hernia repair in preterm infants, facilitating early feeding and short hospital stays.
  • Bronchopulmonary dysplasia and periventricular leukomalacia are risk factors for adverse outcomes in this population.
Abstract

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