Spinal anaesthesia in children: A narrative review.

Best Pract Res Clin Anaesthesiol · Jun 2023

Review

Spinal anaesthesia in children: A narrative review.

Spinal anaesthesia is an established and frequently used anaesthetic technique in adults. However, this versatile regional anaesthetic technique is less frequently used in paediatric anaesthesia even though it can be used for minor (e.g. inguinal hernia repair) and major (e.g. cardiac surgery) surgical procedures. The aim of this narrative review was to summarize the current literature with regard to technical aspects, surgical context, choice of drugs, potential complications, as well as the effects of the neuroendocrine surgical stress response and potential long-term effects of anaesthesia during infancy. In summary, spinal anaesthesia represents a valid alternative in the paediatric anaesthesia setting also.

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- Per-Arne Lönnqvist.
- Section of Anaesthesiology and Intensive Care, Department of Physiology & Pharmacology, Karolinska Institutet, Stockholm, Sweden. Electronic address: per-arne.lonnqvist@ki.se.
- Best Pract Res Clin Anaesthesiol. 2023 Jun 1; 37 (2): 133138133-138.
AbstractSpinal anaesthesia is an established and frequently used anaesthetic technique in adults. However, this versatile regional anaesthetic technique is less frequently used in paediatric anaesthesia even though it can be used for minor (e.g. inguinal hernia repair) and major (e.g. cardiac surgery) surgical procedures. The aim of this narrative review was to summarize the current literature with regard to technical aspects, surgical context, choice of drugs, potential complications, as well as the effects of the neuroendocrine surgical stress response and potential long-term effects of anaesthesia during infancy. In summary, spinal anaesthesia represents a valid alternative in the paediatric anaesthesia setting also.Copyright © 2023 The Author. Published by Elsevier Ltd.. All rights reserved.

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Spinal anaesthesia in children: A narrative review.

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