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Use of spinal anaesthesia in neonates and infants in Antananarivo, Madagascar: a retrospective descriptive study

Authors
  • Randriamizao, Harifetra M. R.1
  • Rakotondrainibe, Aurélia1, 2
  • Razafindrabekoto, Lova D. E.3
  • Ravoaviarivelo, Prisca F.2
  • Rajaonera, Andriambelo T.1
  • Andriamanarivo, Mamy L.1
  • 1 University of Antananarivo, Antananarivo, Madagascar , Antananarivo (Madagascar)
  • 2 CHU Joseph Ravoahangy Andrianavalona, Antananarivo, Madagascar , Antananarivo (Madagascar)
  • 3 University of Fianarantsoa, Fianarantsoa, Madagascar , Fianarantsoa (Madagascar)
Type
Published Article
Journal
BMC Research Notes
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Oct 21, 2020
Volume
13
Issue
1
Identifiers
DOI: 10.1186/s13104-020-05330-9
Source
Springer Nature
Keywords
License
Green

Abstract

ObjectiveThe aim of this study was to present the first cases of spinal anesthesia, in newborns and infants, preterm/ex-prematures, in order to determine its feasibility and its potential harmlessness, in Antananarivo—Madagascar. Indeed, spinal anesthesia is a low cost technique and can limit respiratory complications, postoperative apnea a contrario with pediatric general anesthesia which can lead to perioperative risks.ResultsIn a retrospective, descriptive, 7-year (2013 to 2019) period study, conducted in the University Hospital Joseph Ravoahangy Andrianavalona, 69 patients’ data files planned to have spinal anesthesia were recorded. These pediatric patients were predominantly male (sex ratio = 2.8) and 37 [28–52] days old. The smallest anesthetized child weighed 880 g; the youngest was 4 days old. Twenty-seven (27) of them were premature and 20.3% presented respiratory diseases. They were mostly scheduled for hernia repair (90%). Spinal anesthesia was performed, with a Gauge 25 Quincke spinal needle, after 2 [1–2] attempts with hyperbaric bupivacaine of 4 [3.5–4] mg. Failure rate was 5.8%. The heart rate was stable throughout perioperative period and no complications were observed.

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