Author: Whitaker, Emmett E; Miler, Veronica; Bryant, Jason; Proicou, Stephanie; Jayanthi, Rama; Tobias, Joseph D
Title: Spinal anesthesia after intraoperative cardiac arrest during general anesthesia in an infant Document date: 2017_3_31
ID: uezj1rcx_1
Snippet: In 1899, August Bier reported the successful use of spinal anesthesia in an 11-yearold child during excision of a tumor on the thigh. 1 This initial report was followed by the publication in the early 1900s of two case series regarding the use of spinal anesthesia in infants and children. 2, 3 However, despite its popularity in adults, the technique never gained great popularity in pediatric anesthesia until the 1980s when it was shown to be a su.....
Document: In 1899, August Bier reported the successful use of spinal anesthesia in an 11-yearold child during excision of a tumor on the thigh. 1 This initial report was followed by the publication in the early 1900s of two case series regarding the use of spinal anesthesia in infants and children. 2, 3 However, despite its popularity in adults, the technique never gained great popularity in pediatric anesthesia until the 1980s when it was shown to be a suitable alternative to general anesthesia in the high-risk, former preterm neonate. [4] [5] [6] [7] [8] [9] In this population, spinal anesthesia was suggested as a means of limiting the incidence of postoperative complications, especially apnea and respiratory insufficiency, which were noted following general anesthesia with halothane. 10 However, once again the enthusiasm waned as the risk of apnea was shown to be limited with the new volatile anesthetic agents, sevoflurane and desflurane. 11, 12 The resurgence in popularity of spinal anesthesia has occurred for a number of reasons that are not limited to postoperative apnea.
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