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Spinal Anesthesia for Pediatric Laparoscopic Hernia Repair

A Case Report

Eizaga Rebollar, Ramón, MD*; García Palacios, María Victoria, MD, PhD; Morales Guerrero, Javier, MD*; Torres Morera, Luis Miguel, MD, PhD*

doi: 10.1213/XAA.0000000000000810
Case Reports

Spinal anesthesia is practical and safe in infants and toddlers and prevents perioperative complications including cardiorespiratory instability and apnea. Other perioperative advantages include reduced time from surgery completion to operating room exit and first feed. This article presents the case of an ex-premature infant who underwent laparoscopic inguinal hernia repair under spinal anesthesia. The infant remained calm and stable throughout the uneventful procedure and postoperative period. Spinal anesthesia may be feasible for laparoscopic herniotomy when pneumoperitoneum pressure and operative time are restricted to 8 mm Hg and 60 minutes, respectively, with sensory level at T10 or higher.

From the *Department of Anesthesiology and Reanimation, Puerta de Mar University Hospital, Cádiz, Spain

Department of Preventive Medicine and Public Health, Puerta del mar University Hospital, Cádiz, Spain.

Accepted for publication April 30, 2018.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Ramón Eizaga Rebollar, MD, Puerta del Mar University Hospital, Ana de Viya, 21, 11009 Cádiz, Spain. Address e-mail to ramonchueizaga@hotmail.com.

© 2018 International Anesthesia Research Society
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