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Study of Spinal Anaesthesia In Children Undergoing Lower Abdominal And Lower Limb Surgery With 0.5 % Bupivacaine(heavy)


Affiliations
1 D.N.B., Professor, Department of Anaesthesiology & Critical Care Vijayanagar Institute of Medical Sciences (VIMS) Bellary
2 D.N.B., Associate Professor, Department of Anaesthesiology & Critical Care Vijayanagar Institute of Medical Sciences (VIMS) Bellary
3 M.D., Professor, Department of Anaesthesiology & Critical Care Vijayanagar Institute of Medical Sciences (VIMS) Bellary
4 M.D., Principal, Professor and Head Department of Anaesthesiology & Critical Care Vijayanagar Institute of Medical Sciences (VIMS) Bellary
 

Spinal anaesthesia in paediatric patients is becoming popular following better understanding of physiology and reports of its safe use in large number of studies. We administered hyperbaric bupivacaine in paediatric patients posted for lower extremity surgeries and intraoperative parameters and events were recorded. There was no incidence of hypotension and two patients had bradycardia. Average duration of sensory blockade and motor blockade was around one hour. It is concluded that spinal anaesthesia with 0.5% Bupivacaine (heavy) in children is effective in terms of ease of the technique , fast and reliable blockade, stable haemodynamics and lesser incidence of complications but is suitable for surgeries lasting for less than one hour duration.

Keywords

Paediatrics, Spinal Anaesthesia, Bupivacaine Heavy, Complications
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  • Study of Spinal Anaesthesia In Children Undergoing Lower Abdominal And Lower Limb Surgery With 0.5 % Bupivacaine(heavy)

Abstract Views: 125  |  PDF Views: 90

Authors

D. Srinivasalu
D.N.B., Professor, Department of Anaesthesiology & Critical Care Vijayanagar Institute of Medical Sciences (VIMS) Bellary
S. Bala Bhaskar
D.N.B., Associate Professor, Department of Anaesthesiology & Critical Care Vijayanagar Institute of Medical Sciences (VIMS) Bellary
A. Srinivasamurthy
M.D., Professor, Department of Anaesthesiology & Critical Care Vijayanagar Institute of Medical Sciences (VIMS) Bellary
S. S. Harsoor
M.D., Principal, Professor and Head Department of Anaesthesiology & Critical Care Vijayanagar Institute of Medical Sciences (VIMS) Bellary

Abstract


Spinal anaesthesia in paediatric patients is becoming popular following better understanding of physiology and reports of its safe use in large number of studies. We administered hyperbaric bupivacaine in paediatric patients posted for lower extremity surgeries and intraoperative parameters and events were recorded. There was no incidence of hypotension and two patients had bradycardia. Average duration of sensory blockade and motor blockade was around one hour. It is concluded that spinal anaesthesia with 0.5% Bupivacaine (heavy) in children is effective in terms of ease of the technique , fast and reliable blockade, stable haemodynamics and lesser incidence of complications but is suitable for surgeries lasting for less than one hour duration.

Keywords


Paediatrics, Spinal Anaesthesia, Bupivacaine Heavy, Complications