The Efficiency of Spinal Anesthesia among 4-10 Years Children

Abstract

Objective: In this study our main goal is to evaluate the efficiency of spinal anesthesia among 4- 10 years children. Method: This prospective study was carried out at Cumilla Medical College hospital. A total of 50 pediatric patients 4 to 10 years of age group who were given spinal anesthesia for infraumbilical or lower extremity surgery during the 1-year period from January 2021 to December 2021 were included in the study. Results: During the study, majority patients were belong to 4-6 years age group 67%. During procedure, 80% patients’ position was sitting, followed by 50% cases number of punctures was single, where as 7% cases CSF reflux showed after 2nd puncture. Mean fasting hours were 5.82± 0.1 h. Injection atropine 0.01 mg/kg was given as premedication. Most of the patients were given ketamine either alone (59%) or with midazolam (41%). Other drugs used were diazepam (3%) and fentanyl (2%). there was no significant change in the mean value of systolic blood pressure, diastolic blood pressure, respiratory rate, and oxygen saturation after subarachnoid block at all time periods. After 10 min of SAB 95% patients achieved desired peak sensory level of T10 and Bromage score of 3. Conclusion: From our study we can recommend that spinal anesthesia is ideal, safe and cost- effective for day-case surgeries and there is no additional requirement of any special drugs or equipment’s for the procedure. Because of these benefits, spinal anesthesia preferred for children undergoing surgery in the lower part of the body.