Efficacy of regional anaesthesia for paediatric surgery: Experience from a surgical expedition

None

Authors

  • OM Fatungase
  • CC Nwokoro
  • EA Emmanuel
  • SO Akodu
  • RO Shoyemi
  • LO Amosu

DOI:

https://doi.org/10.30442/ahr.0602-09-82

Keywords:

Children, Outcome, Regional anaesthesia, Surgical expedition

Abstract

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.

References

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.

Published

2020-05-17

Issue

Section

Original Research

Most read articles by the same author(s)