World Journal of
Pharmaceutical and Life Sciences

PEDIATRIC SPINAL ANESTHESIA : A PROSPECTIVE STUDY DONE IN PEDIATRIC CASES UNDERGOING LOWER LIMB SURGERY

Dr. Nirmal Kumar Gyawali MBBS*

ABSTRACT

Pediatric spinal anaesthesia as a primary anesthetic technique is less common technique done at our part of world. It is mainly limited to specialized pediatric centre. The misconceptions regarding its safety and feasibility can be better known with greater use, experience and research. Spinal anesthesia in children is a relatively safe technique with few complications and may be considered an alternative for general anesthesia, especially in for surgery of lower limb and lower abdomen. Despite its popularity for newborns and infants in last two decades, there are still unanswered questions with this technique. The objective of this study is to evaluate the successes rate, complications and hemodynamic stability related to pediatric spinal anesthesia. Materials and method: It is a prospective study done at Western Hospital Nepalgunj from January 2018 to December 2018. Nepalgunj is situated in Banke district, a part of province 5 Total 76 American Society of Anaesthesiologist (ASA) I and II patients aged 5-15 years were selected for the study. Results: Spinal anesthesia was successful in 74 children out of 76 children (97.36%), while in 2 childrens General Anaesthesia was performed. No significant hemodynamic changes occurred before and after anaesthesia, mean change in systolic Blood Pressure was 14mmhg and diastolic Blood Pressure was 9.3mmhg. Except shivering in four (5.4%) patients no other complications occurred. Conclusion: Spinal anesthesia with hyperbaric bupivacaine is a feasible anesthetic for lower limb surgery.

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