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Pediatric spinal anesthesia at a tertiary care hospital: Eleven years after

Ramón Eizaga Rebollar1, María Victoria García Palacios2, Javier Morales Guerrero1

  • 1Department of Anesthesiology and Reanimation, Puerta de Mar University Hospital, Cádiz, Spain.

Paediatric Anaesthesia
|February 14, 2022
PubMed

Insights

Pediatric spinal anesthesia is a safe and effective technique for children undergoing lower body surgery. This study shows a high success rate and low complication incidence, supporting its feasibility in hospitals.

Area of Science:

  • Anesthesiology
  • Pediatric Surgery

Background:

  • Pediatric spinal anesthesia offers reduced cardiorespiratory risks compared to general anesthesia, particularly for neonates and infants.
  • Despite its benefits, the technique's adoption remains limited.

Purpose of the Study:

  • To evaluate the safety and effectiveness of a pediatric spinal anesthesia program.
  • Assessed outcomes over an 11-year period at a tertiary care hospital.

Main Methods:

  • Retrospective cohort study including 200 children (8 days to 13 years).
  • Data collected on demographics and procedures.
  • Calculated success, failure, and complication rates.

Main Results:

  • Achieved a high success rate of 97.5% (195 out of 200 patients).
  • Reported a low complication rate of 2% (4 out of 200 patients).
  • Complications included intraoperative hypoxemia and postoperative postdural puncture headache, both resolving without sequelae.

Conclusions:

  • Pediatric spinal anesthesia is a safe and effective procedure.
  • The technique is well-accepted by anesthesiologists.
  • Implementing a pediatric spinal anesthesia program is feasible and cost-effective for hospitals.
Abstract

Keywords:
childrencomplicationsfailure rateinfantsneonatesspinal anesthesiasuccess ratesurgery

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