Efficacy of regional anaesthesia for paediatric surgery: Experience from a surgical expedition
Background: In developing countries where resources are scarce and health care financing is essentially by out-of-pocket payment, a surgical expedition is often a huge economic relief. Children are a category of the vulnerable group that can benefit from such exercises. However, an anaesthesia technique that is economical in both human and material resources should be explored,
Objective: To describe the outcome of regional anaesthesia techniques during a surgical expedition for paediatric patients.
Methods: Children aged 6 months to 16 years, who had been previously screened for free surgery in different surgical specialities, were recruited for the study.
Results: Fifty-six (56) children were screened but only 35 were recruited for the surgical expedition. There were nineteen (19) males and sixteen (16) females with a male to female ratio of 1.5:1. Surgical procedures covered surgical specialities such as orthopaedics, plastic and general paediatric surgery. All the patients had one form of regional technique and/or peripheral nerve blocks. There were no intra-operative or post-operative anaesthetic complications up to a period of 30-days while on follow-up care.
Conclusion: Regional anaesthesia is safe and a cheap choice of anaesthesia in children during surgical expeditions.
Smoot EC, Johnson M, Graham DR, Draper GA. Operating safely in an underdeveloped country. Cleft palate. Craniofacial J 1992; 29: 444-450.
Puncuh F, Lampugnani E, Kokki H. Use of Spinal Anaesthesia in Paediatric Patients: A single centre experience with 1132 cases. Paediatr Anaesth 2004; 14: 564-567.
Paloner DM, Drescher J. Pediatric regional anesthesia: what is the current safety record? Paediatr Anaesth 2011; 21: 737-742.
Ecoffey C. Safety in pediatric regional anaesthesia. Paediatr Anaesth 2012; 22: 25-30.
Anju G, Usha U. Spinal anaesthesia in children: A review. J Anaesthesiol Clin Pharmacol.2014; 30: 10-18.
Paton RH. Spinal anaesthesia in older children in the United Kingdom: personal experience. Anaesthesia 2008; 63: 1149-1150.
Shah RD, Suresh S. Application of regional anaesthesia in pediatrics. Brit J Anaesth 2013; 111: i114–i124.
Obayah GM, Refale A, Aboushanab O, Ibraheem N, Abdelazees M. Addition of dexmedetomidine to bupivacaine for greater palatine nerve block prolongs postoperative analgesia after cleft palate repair. Eur J Anaesthesiol 2010; 27: 280-284.
O’Sullivan MJ, Mislavic B, Alexander E. Dorsal penile nerve block for male paediatric circumcision- randomized comparison of ultrasound-guided vs anatomical landmark technique. Paediatr Anaesth 2011; 21:1214-1218.
Faraoni D, Gilbeau A, Lingler P, Barvais L, Engelman E, Hennart D. Does ultrasound guide improve the efficacy of dorsal penile nerve block in children? Paediatr Anaesth 2010; 20: 930-936.
Margetts L, Carr A, McFadyen G, Lambert A. A comparison of caudal bupivacaine and ketamine with penile block for paediatric circumcision. Eur J Anaesthesiol 2008; 25: 1009-1013.
Kokki H, Ylonen P, Laisalmi M, Heikkinew M, Reinkainen M. Isobaric ropivacaine 5mg/ml for subarachnoid in children. Anaesth Analg 2005; 100: 66-70.
Kokki H, Hendolin H. Hyperbaric bupivacaine for spinal anaesthesia in 7yr -18yr old children: comparison of bupivacaine 5mg/ml 0.9% and 8% glucose solutions. Brit J Anaesth 2000; 84: 59-62.
Copyright (c) 2020 Annals of Health Research
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The articles and other materials published in the Annals of Health Research are protected by the Nigerian Copyright laws. The journal owns the copyright over every article, scientific and intellectual materials published in it. However, the journal grants all authors, users and researchers access to the materials published in the journal with the permission to copy, use and distribute the materials contained therein only for academic, scientific and non-commercial purposes.