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Spinal anaesthesia applications in pediatric subabdominal operations


MOJ Surgery
Hayriye Alp

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Abstract

Introduction: Spinal anesthesia is increasing in pediatric patients; 14 children of various ages who were operated for lower abdominal diseases were treated retrospectively.
 
Cases: Intraoperative vital signs were stable. Hypotension and bradycardia were not observed generally; 0.5mg atropine was administered in only 1 patient. Heart rate and blood pressure were monitored from the monitor. The sensory dermatomal level was below thoracal 8. Postop pain, nausea, vomiting, itching, and tremor headache were not observed. Patient satisfaction and surgeon satisfaction were evaluated as very good. The patient had no tension or fear. The surgeon was not forced during the operation due to muscle spasm and the operation was successful. Intraoperative pulse, tension, mean arterial pressure, sp02 were noted; at least 73/min, 100/50.75mmhg, 97 respectively. All of the patients were discharged without complications. No serious side effects such as cardiovascular collapse, total spinal block, neurological damage, intravascular injection associated with spinal anesthesia were encountered. It is very important to use a safe, rapid-onset and effective anesthesia method in pediatric surgical procedures, where intraoperative pulmonary and cardiovascular stability is preserved and stress response is suppressed and effective postoperative analgesia is provided.

Keywords

spinal anesthesia, pediatric patients, sub-abdominal operations, bradycardia, hypotension

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