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Indian Journal of Anesthesia and Analgesia

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Comparison of Spinal Anaesthesia versus General Anaesthesia in Paediatric Patients Undergoing Lower Abdomen Surgeries

Ranjeet Rana De, Senior Resident, Department of Anaesthesia and Critical Care, Indira Gandhi Institute of Medical Sciences, Patna, Bihar 800014, India. , Harshwardhan1 , Saurav Shekhar1 , Ranjeet Rana De1 , Swami Sarita S.2 , Ajit Gupta3 , Shashank Dhiraj1 , Abhay K Sancheti4

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Indian Journal of Anesthesia and Analgesia 4(3):p 833-837, July - September 2017. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.4317.46

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Abstract

Background: Over the last three decades, spinal anaesthesia has been widely used for herniotomy and other lower abdominal surgeries in paediatric age group. However the children undergoing surgery under regional Anaesthesia require sedation and closed monitoring. General Anaesthesia in paediatric age-group has its own sets of complications like difficult airway and sometimes life threatening complications as bronchospasm, laryngospasm etc may also occur. Methods: In this prospective study, 50 patients of 2 to 7 years divided into two groups, group SA and GA. SA group received spinal anaesthesia, patient were sedated in preoperative room with Dexmedetomidine 1mcg/kg(over 20 minutes infusion) and throughout procedure sedation was maintained on Dexmedetomidine 0.5mcg/kg with infusion. For group GA standard protocol of General anaesthesia was followed. The results were analysed using the Chi- Square Test. Results: The haemodynamic pattern and respiratory function were stable and smooth recovery was seen in group SA. While in group GA, oxygen desaturation was observed in 16% patients in immediate postoperative period. Incidence of nausea vomiting and sore throat was seen in 8% patients of GA group. Conclusion: It can be concluded that spinal anaesthesia is a suitable & alternative anaesthetic technique for paediatric surgery to avoid the incidence of postoperative respiratory complications of general anaesthesia.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.4317.46

Keywords

Paediatric Spinal Anaesthesia; Dexmedetomidine Sedation; General Anaesthesia; Lowers Abdomen Surgeries in Children. 

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