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Combined spinal and epidural anaesthesia for inguinal hernia repair in babies
Author(s) -
PEUTRELL J.M.,
HUGHES D.G.
Publication year - 1994
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.1994.tb00168.x
Subject(s) - medicine , anesthesia , inguinal hernia , surgery , lumbar , lumbar puncture , general anaesthesia , hernia , cerebrospinal fluid , pathology
Summary We describe combined subarachanoid‐epidural anaesthesia for inguinal herniotomy in eight ex‐premature babies less than 47 weeks postconception and one full‐term baby aged 21 weeks who had Pierre‐Robin syndrome. No additional anaesthetic supplements were needed during surgery. Motor block was profound and operating conditions were excellent. One baby had brief self‐limiting bradycardias shortly after lumbar puncture. A second baby with severe bronchopulmonary dysplasia had recurrent oxygen desaturations associated with apnoea during surgery. There were no other intra‐ or postoperative complications. All babies were fed immediately on return to the ward. We conclude that combined subarachnoid‐epidural anaesthesia is a satisfactory technique for anaesthesia for inguinal herniotomy in babies at risk of apnoea after surgery.