PMID: 9189965Jan 1, 1997Paper

High spinal anaesthesia for repair of patent ductus arteriosus in neonates

Paediatric Anaesthesia
R K Williams, J C Abajian

Abstract

General anaesthesia with high dose narcotics has traditionally been used for repair of patent ductus arteriosus (PDA) in high risk neonates. Spinal anaesthesia in infants has generally been limited to cases involving the lower abdomen and lower extremities. Regional anaesthesia for PDA repair could potentially offer a more rapid recovery and the possibility of blunting the stress response in this vulnerable group of patients. High spinal anaesthesia with tetracaine was utilized as an alternative to general anaesthesia in a series of fifteen consecutive patients. Patient demographics, medication dosages, level of anaesthesia, intraoperative and immediate postoperative data were obtained and recorded in a prospective fashion. Spinal anaesthesia was achieved in all patients. The average dose of tetracaine was 2.4 mg.kg-1. Two patients early in the series had an inadequate level and received supplemental isoflurane. The remainder of the patients received either no or minimal supplementation to the basic technique. Cardiovascular status of the group was very stable with minimal changes in blood pressure noted. Recovery was rapid. All three patients who were not intubated at the time of surgery were extubated soon after surgical repa...Continue Reading

Citations

May 1, 1997·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·R K WilliamsJ C Abajian
Jan 13, 2000·Paediatric Anaesthesia·J D Tobias
May 3, 2000·Paediatric Anaesthesia·A S McCormick, V L Thomas
Oct 21, 2000·Archives of Disease in Childhood. Fetal and Neonatal Edition·A Jain, N Rutter
Feb 28, 2014·Journal of Anaesthesiology, Clinical Pharmacology·Anju Gupta, Usha Saha
Jul 1, 2002·Medical Journal, Armed Forces India·F B BhotN K Biswas
Nov 3, 2010·Best Practice & Research. Clinical Anaesthesiology·Geoff Frawley, Pablo Ingelmo
Nov 3, 2010·Best Practice & Research. Clinical Anaesthesiology·Frank Weber
Jul 6, 2010·Annales Françaises D'anesthèsie Et De Rèanimation·J-X MazoitS Dalmas
Jun 15, 2007·Paediatric Anaesthesia·Ludmyla KachkoJacob Katz
Jan 5, 2011·Paediatric Anaesthesia·David M Polaner, Jessica Drescher
Jun 3, 2004·Best Practice & Research. Clinical Anaesthesiology·Joseph D Tobias
Feb 13, 2018·Current Opinion in Anaesthesiology·Nicola DismaGeorge A Chalkiadis
Jan 20, 1999·Anaesthesia·D A Rowney, E Doyle
Mar 15, 2006·Current Opinion in Anaesthesiology·Franco PuncuhHannu Kokki
Dec 22, 2005·Anesthesia and Analgesia·Robert K WilliamsJ Christian Abajian
Jun 11, 2014·Anesthesia and Analgesia·Robert K WilliamsH W Bud Meyers
Jan 22, 2003·Paediatric Anaesthesia·Julia C FinkelAisling M Conran
Jan 15, 2005·Paediatric Anaesthesia·U S NickelA M Brambrink
Sep 13, 2021·Paediatric Anaesthesia·Emmett E WhitakerRobert K Williams

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