Volume : 6, Issue : 8, August - 2017

SPINAL ANAESTHESIA IN CHILDREN FOR LOWER LIMB AND LOWER ABDOMINAL, INFRAUMBLICAL EXTRAPERITONEAL SURGERIES

Dr Sweyta Shrivastava, Dr Aparna Tamaskar, Dr Sumit Bhargava

Abstract :

<p>&nbsp;<b style="text-align: justify;"><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;">AIMS</span></b><span lang="EN-IN" style="text-align: justify; font-size: 12pt; line-height: 115%; font-family: &quot;Times New Roman&quot;, serif;">: To evaluate&nbsp; safety&nbsp; and efficacy of spinal anaesthesia in paediatric patients &nbsp;for lower limb and lower abdominal, infraumblical extraperitoneal &nbsp;surgeries.</span></p> <p class="MsoListParagraph" style="margin-left:0in;text-align:justify"><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">&nbsp;<b>Material &amp; methods:</b> an open, non-comparative </span><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:EN-IN">prospective observational </span><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">study was performed on 50</span><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:EN-IN"> ASA status I &ndash; II patients</span><span lang="EN-IN" style="font-size:12.0pt;&#10;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"> of either sex</span><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:EN-IN">, aged 2-14 years of age, scheduled for</span><span lang="EN-IN" style="font-size:12.0pt;&#10;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"> routine elective lower abdominal or lower limb surgeries drawn out of general surgeries and orthopedic paediatric procedures mainly infraumblical extraperitoneal surgeries. </span><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:EN-IN"><o:p></o:p></span></p> <p class="MsoNormalCxSpFirst" style="margin-bottom:6.0pt;mso-add-space:auto;&#10;text-align:justify"><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">&nbsp;<b>Results</b> : Advantage of spinal anaesthesia like early&nbsp; post-operative analgesia is evident by our study.Our study results&nbsp; suggests early ambulation of the patients and shows that patient can be discharged on the day of surgery<o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:12.0pt;margin-right:0in;margin-bottom:&#10;12.0pt;margin-left:0in;text-align:justify"><b><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">&nbsp;Conclusion:</span></b><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"> Spinal anaesthesia is safe for lower limb and lower abdominal mainly infraumblical extraperitoneal surgeries in paediatric patients.<o:p></o:p></span></p>