Abstract

Background: In Paediatric Patients Spinal Anaesthesia is used for subumbilical surgeries but still there is a concern about its safety & feasibility .In our prospective study the main objective was to reevaluate the hemodynamic stability &any  complications occurred  in paediatric spinal anaesthesia.

Material and Methods: In this prospective study, 40 paediatric patients of aged 2-8 years were included undergoing subumbilical surgery. Under all aseptic precautions and sedation, SubArachnoid block was given with 26g hypodermic needle through L3-L4 or L4-L5 interspinalspace  & hyperbaric  0.5%Bupivacaine was administered according to the weight of children. .The dose of Bupivacaine used was 0.1ml\kg for child (<5kg),0.08ml\kg(5-15kg),0.06ml\kg(>15kg). Demographic data, vital parameters, sensory –motor block characteristics & complications were noted.

Results: There was no significant change in vital parameters. Mean peak sensory level was T 6.20 ±1.20 (T4-T8).Mean sensory level at the end of surgery was T8.11±1.42(T6-T12) Modified Bromage score was 3 in all patients. Sensory and Motor block recovery was complete in all patients .Mean time to two segment regression was 42.91±10.72(30-70)min .Incidence of complications was minimal with shivering in 2 patients (5%) difficulty in breathing in 1 patient(2.5%) &  also in  1 patient (2.5%) nausea & vomiting.

Conclusion: Paediatric spinal anaesthesia is safe feasible & effective anaesthetic technique for subumbilical surgeries of limited duration (70-80) minutes with negligible side effects.

Keywords- Paediatric; spinal anaesthesia; infraumbilical; complications;hemodyamics.

Dr Sanjay S Bule

Department of Anaesthesia, Government Medical College & Hospital, Nagpur-3 Maharashtra India

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