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Spinal anesthesia after intraoperative cardiac arrest during general anesthesia in an infant

Emmett E Whitaker1,2, Veronica Miler1,2, Jason Bryant1,2

  • 1Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital.

Local and Regional Anesthesia
|April 25, 2017
PubMed

Insights

Severe complications like cardiac arrest can occur during general anesthesia in infants. Spinal anesthesia is explored as a safer alternative, particularly for urologic surgery, to mitigate risks and potential neurocognitive impacts.

Area of Science:

  • Pediatric Anesthesiology
  • Neurosurgery
  • Urologic Surgery

Background:

  • General anesthesia in infants carries risks of severe perioperative complications, including cardiac arrest.
  • Emerging evidence suggests anesthetic agents may impact long-term neurocognitive outcomes in children.
  • There is a growing interest in alternative anesthetic techniques to general anesthesia.

Observation:

  • A case of infant cardiac arrest during general anesthesia for urologic surgery is presented.
  • Spinal anesthesia was considered and utilized for subsequent anesthetic management.
  • This case highlights the potential for severe adverse events under general anesthesia in pediatric patients.

Findings:

  • The case demonstrates a critical event during general anesthesia requiring intervention.
  • Spinal anesthesia was successfully employed as an alternative anesthetic approach.
  • Review of perioperative risks associated with general anesthesia is crucial.

Implications:

  • Spinal anesthesia may offer a safer alternative to general anesthesia in specific infant surgical cases.
  • Understanding etiologic factors of perioperative complications is vital for patient safety.
  • Further research into neurocognitive effects of different anesthetic agents is warranted.

Keywords:
childcomplicationspediatric anesthesia

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