Laparoscopic Surgery in Infants Under Spinal Anesthesia Block: A Case Report of 3 Cases

A&A Practice
Franklin Chiao, Karen Boretsky

Abstract

Spinal anesthesia (SA) is a valuable alternative to general anesthesia in infants, but laparoscopic surgery is considered a contraindication in this age group. We report 3 cases of SA for inguinal hernia repairs. The contralateral inguinal region was explored by laparoscopic port placement and pneumoperitoneum through the surgical site. Ages ranged from 5 to 15 weeks, postconceptual age from 46 to 55 weeks, and weights from 4.0 to 6.6 kg. Spinal anesthetics were supplemented with intravenous dexmedetomidine. One patient experienced hypertension and tachycardia during insufflation with brief supplemental use of sevoflurane. Opioids were spared in 2 patients. Pain scores were low throughout. SA as a primary anesthetic may be used in pediatric laparoscopic procedures.

References

Dec 22, 2005·Anesthesia and Analgesia·Robert K WilliamsJ Christian Abajian
Feb 29, 2008·American Journal of Surgery·Yunus Nadi YuksekNuri Aydin Kama
Apr 19, 2008·American Journal of Surgery·George TzovarasConstantine Hatzitheofilou
Aug 5, 2010·Revista brasileira de anestesiologia·Luiz Eduardo ImbelloniJosé Antonio Cordeiro
Feb 12, 2014·Pediatrics·Mary Ellen McCannRobert C Tasker
Oct 5, 2014·Journal of Pediatric Surgery·Saleem IslamNorman Carvallho
May 2, 2017·A & a Case Reports·Franklin Chiao, Karen Boretsky

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Citations

Apr 13, 2021·Journal of Pediatric Orthopedics·Michael A AcquavivaPeter F Castelluccio

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