Hemodynamic Changes after Spinal Anesthesia in Children below the Age of Four Years: A Single Centre Experience

Background: Modern technology has produced better equipment than was available hitherto with the result that spinal anaesthesia is undoubtedly simpler, cheaper and above all, safer than it used to be. These notwithstanding, it is used infrequently Aim of the study: The aim of the study was to analyze the success rate, complications, and hemodynamic stability-related to spinal anesthesia in pediatric patients aged 4 years over a period of 1-year. Methods: This is a cross-sectional study, a total of 87 patients were enrolled and analyzed. The study was conducted at the Department of Anesthesiology, Bangladesh Shishu Hospital and Institute, Dhaka, Bangladesh. The study duration was January 2021 to December2021. Informed consent was obtained from the patient/guardian of each patient for participation. Result: In this cross-sectional study, a total of 87 patients were analyzed. Almost 80% of patients were female and 20% of patients were male. The hemodynamic changes in the children undergoing spinal anaesthesia are shown in figure 2. More than 40% of patients had surgery for hernia (Herniotomy), 11(12.64%) patients had colostomy surgery, and 7(8.05%) patients had Orchidopexy. The mean peak sensory level of the study was T4(C7-T10). There were 85(97.7%) patients who had the motor block and Bromage score of 1 and the mean duration of the block was 75minutes with a range of 30-180 minutes. Conclusion: Spinal anesthesia in small children showed minimal variation in intra operative and post operative hemodynamic sand is a safer mode of anesthesia with sparing of respiratory alterations seen with general anesthesia.