DOI: 10.36347/sjams.2023.v11i04.019

Pages: 780-784

Background: Despite a long history of safety, spinal anesthesia (SA) is still seldom used outside of specialist pediatric institutions and is sometimes debated as a primary anesthetic approach for children. To lessen the risk of postoperative apnea, it is often used on previously preterm newborns who have not yet reached viability (60 weeks post- conception) (GA). There is, however, a wealth of evidence indicating its safety and effectiveness for appropriate operations in adolescents. Objective: The primary purpose of this investigation is to assess the efficacy of spinal anesthesia in pediatric patients. Method: Tertiary care hospital was the setting for this prospective investigation. Fifty children, ages 4 to 10, were included in the research because they were all given spinal anesthesia for infraumbilical or lower extremities surgery during the study's 1-year time frame. Results: Seventy percent of the participants in the research were preschoolers. Eighty percent of patients were seated throughout surgery, fifty percent required just one puncture, and seven percent demonstrated CSF reflux after the second puncture. The average time spent fasting was 5.82 0.1 hours. Premedication with an injection of atropine 0.01 mg/kg was administered. Ketamine was administered to the majority of patients, either alone (60%) or in combination with midazolam (40%). Diazepam was utilized by 3% of patients, and fentanyl by 2%. After subarachnoid block, there was no statistically significant change in any of the measured parameters throughout the course of any of the time periods. Ninety percent of patients reached the target peak sensory level T10 and Bromage score 3 after 10 minutes of SAB. Conclusion: Based on our findings, we believe that spinal anesthetic is the most convenient, secure, and economical option for outpatient surgical procedures that do not need overnight hospitalization. These advantages make spinal anesthesia a viable option for children having lower-body ....