• The American surgeon · Aug 1991

    Spinal anesthesia reduces the hazard of apnea in high-risk infants.

    • T J Veverka, D N Henry, M J Milroy, M E Snyder, E Fabian, J A Groch, and L M Cobb.
    • Department of Surgery, Michigan State University, Lansing 48912.
    • Am Surg. 1991 Aug 1;57(8):531-4; discussion 534-5.

    AbstractGeneral anesthesia in premature babies is associated with a significant risk of life-threatening apnea. Spinal anesthesia in the high-risk infant is simple, safe, and effective, but the incidence of apnea with its use has not been previously determined. The total absence of apnea in 84 high-risk infants suggests that surgery below the umbilicus under spinal anesthesia can safely be performed on an outpatient basis in preterm infants or babies with a history of apnea. Ketamine as an adjunctive agent adds no apparent risk. The technique is relatively easy, surgery is not compromised, and parental acceptance is high.

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