A Prospective Clinical Study to Assess the Efficiency of Subarachnoid Block as Sole Anesthetic Method in Neonates Undergoing Infraumbilical Surgeries
Background: Spinal anesthesia is increasingly used in neonates to minimize respiratory complications such as apnea and bradycardia. It also avoids delayed recovery associated with general anesthesia (GA) and provides stable intraoperative conditions for infraumbilical surgeries. To assess the effici...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-05-01
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| Series: | Journal of Pharmacy and Bioallied Sciences |
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| Online Access: | https://journals.lww.com/10.4103/jpbs.jpbs_696_25 |
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| author | Kaushal Kabir Kovvuri Jhansi Aseem Sharma Akshay R. Nair Manish Banjare |
| author_facet | Kaushal Kabir Kovvuri Jhansi Aseem Sharma Akshay R. Nair Manish Banjare |
| author_sort | Kaushal Kabir |
| collection | DOAJ |
| description | Background:
Spinal anesthesia is increasingly used in neonates to minimize respiratory complications such as apnea and bradycardia. It also avoids delayed recovery associated with general anesthesia (GA) and provides stable intraoperative conditions for infraumbilical surgeries. To assess the efficiency of subarachnoid block (SAB) as a sole anesthetic method in neonates undergoing infraumbilical surgeries and evaluate hemodynamic parameters (PR, BP, SPO2, RR) and adverse events.
Materials and Methods:
This prospective observational study was conducted in the Department of Anesthesiology, M.Y. Hospital and MGM Medical College, Indore, with 84 neonates (0–28 days) undergoing infraumbilical surgeries. SAB was administered at the L4-L5 interspinous space using 0.5% hyperbaric bupivacaine (0.5 mg/kg).
Results:
The mean age was 14.39 days with 62.5% males. Hemodynamic parameters remained stable (HR: 162.5 bpm, SPO2: 99.2–99.36%). The mean surgery duration was 38.3 minutes. Incidence of adverse effects was minimal.
Conclusion:
SAB is a safe, simple, and cost-effective alternative to GA ensuring hemodynamic stability and minimal postoperative complications in neonates. |
| format | Article |
| id | doaj-art-9f7145e3fdd64f8ea8441c49bd951fc0 |
| institution | DOAJ |
| issn | 0976-4879 0975-7406 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Pharmacy and Bioallied Sciences |
| spelling | doaj-art-9f7145e3fdd64f8ea8441c49bd951fc02025-08-20T03:07:47ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062025-05-0117Suppl 1S293S29510.4103/jpbs.jpbs_696_25A Prospective Clinical Study to Assess the Efficiency of Subarachnoid Block as Sole Anesthetic Method in Neonates Undergoing Infraumbilical SurgeriesKaushal KabirKovvuri JhansiAseem SharmaAkshay R. NairManish BanjareBackground: Spinal anesthesia is increasingly used in neonates to minimize respiratory complications such as apnea and bradycardia. It also avoids delayed recovery associated with general anesthesia (GA) and provides stable intraoperative conditions for infraumbilical surgeries. To assess the efficiency of subarachnoid block (SAB) as a sole anesthetic method in neonates undergoing infraumbilical surgeries and evaluate hemodynamic parameters (PR, BP, SPO2, RR) and adverse events. Materials and Methods: This prospective observational study was conducted in the Department of Anesthesiology, M.Y. Hospital and MGM Medical College, Indore, with 84 neonates (0–28 days) undergoing infraumbilical surgeries. SAB was administered at the L4-L5 interspinous space using 0.5% hyperbaric bupivacaine (0.5 mg/kg). Results: The mean age was 14.39 days with 62.5% males. Hemodynamic parameters remained stable (HR: 162.5 bpm, SPO2: 99.2–99.36%). The mean surgery duration was 38.3 minutes. Incidence of adverse effects was minimal. Conclusion: SAB is a safe, simple, and cost-effective alternative to GA ensuring hemodynamic stability and minimal postoperative complications in neonates.https://journals.lww.com/10.4103/jpbs.jpbs_696_25analgesiabradycardianeonatespost operative apnearegional anesthesiaspinal anesthesia |
| spellingShingle | Kaushal Kabir Kovvuri Jhansi Aseem Sharma Akshay R. Nair Manish Banjare A Prospective Clinical Study to Assess the Efficiency of Subarachnoid Block as Sole Anesthetic Method in Neonates Undergoing Infraumbilical Surgeries Journal of Pharmacy and Bioallied Sciences analgesia bradycardia neonates post operative apnea regional anesthesia spinal anesthesia |
| title | A Prospective Clinical Study to Assess the Efficiency of Subarachnoid Block as Sole Anesthetic Method in Neonates Undergoing Infraumbilical Surgeries |
| title_full | A Prospective Clinical Study to Assess the Efficiency of Subarachnoid Block as Sole Anesthetic Method in Neonates Undergoing Infraumbilical Surgeries |
| title_fullStr | A Prospective Clinical Study to Assess the Efficiency of Subarachnoid Block as Sole Anesthetic Method in Neonates Undergoing Infraumbilical Surgeries |
| title_full_unstemmed | A Prospective Clinical Study to Assess the Efficiency of Subarachnoid Block as Sole Anesthetic Method in Neonates Undergoing Infraumbilical Surgeries |
| title_short | A Prospective Clinical Study to Assess the Efficiency of Subarachnoid Block as Sole Anesthetic Method in Neonates Undergoing Infraumbilical Surgeries |
| title_sort | prospective clinical study to assess the efficiency of subarachnoid block as sole anesthetic method in neonates undergoing infraumbilical surgeries |
| topic | analgesia bradycardia neonates post operative apnea regional anesthesia spinal anesthesia |
| url | https://journals.lww.com/10.4103/jpbs.jpbs_696_25 |
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