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ORIGINAL ARTICLE
Year : 2019  |  Volume : 22  |  Issue : 2  |  Page : 92-95

Spinal anaesthesia in paediatric orthopaedic services: A five year experience in a Nigeria hospital


Department of Anaesthesiology, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria

Correspondence Address:
Dr. Idehen Hanson Osazuwa
Department of Anaesthesiology, University of Benin Teaching Hospital, Benin City, Edo State
Nigeria
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DOI: 10.4103/smj.smj_42_18

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Background: The role of spinal anesthesia (SA) as a primary anesthetic technique in children is not a common practice in many centers in Nigeria. The reason for the poor utilization might be due to lack of expertise in pediatric SA, fear of adverse effect such as spinal cord injury. Objectives: This study is a retrospective audit of the anesthetic technique in the pediatric age group in a private orthopedic hospital in Nigerian. The outcome of this study will help reduce the misconception regarding its practicability and safety. Materials and Methods: This is a 5-year single center retrospective study of the anesthetic choice for surgeries on the lower limb in the pediatric age group in an orthopedic hospital. The survey extended from 2012 to 2016 and all relevant information obtained from the medical records of the surgical theatres of the hospital as well as anesthetic records of the patients. The children were assigned to four groups: I – neonates; II – infants 1 month–2 years; III – children 2–12 years; and IV – 12–16 years. Results: A total of 156 patients' records were reviewed. Spinal-induced hypotension occurred only in 4 patients (2.56%). All the 4/44 patients (9.09%) who had hypotension were in the adolescent age group. Conclusion: This study showed the feasibility of SA and good safety profile in the pediatric age group.


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