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Spinal anesthesia in adults, once very popular, passed through a phase of disrepute and decline, but then resurged and became widely acceptable as the first choice anesthesia in some categories of surgical procedures. It is a useful alternative to general anesthesia (GA) in adults. But this useful technique has been under-utilized in pediatric population in Pakistan. It has come to my knowledge vide personal communication that the anesthesiologists working in south Punjab even in tertiary care hospitals, public or private sector, spinal anesthesia is being administered by only a few anesthesiologists. At D. G. Khan, it has been administered to children (minimum age 16 days) for the last 20 years. No significant complication has been observed up till now.

Pediatric spinal anesthesia at D. G. Khan (Pakistan); Our experience of 20 years