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Haemodynamic Changes During High Spinal Anaesthesia in Children Having Open Heart Surgery by Julia C. Finkel; M. Gail Boltz; Aisling M. Conran is a Medicine article available to read on EtoBox.

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## Summary __Background__: This prospective series examined the haemodynamic effects of high spinal anaesthesia in combination with light general anaesthesia in infants and children undergoing open heart surgery who were candidates for immediate or early postoperative extubation. __Methods__: After midazolam premedication and sevoflurane inhalation induction, 30 patients, aged 7 months to 13 years, who were undergoing open heart surgery, received spinal anaesthetics with 0.5% tetracaine D~10~ mixed with morphine. The spinal blocks were placed at the L2,3 or L3,4 interspace with cephalad spread being promoted by positioning the patient in 30° of Trendelenburg for a minimum of 10 min. Maintenance of anaesthesia was with isoflurane 0.2–0.5% in 70% nitrous oxide to maintain heart rate and blood pressure within 20% of postinduction baseline values. Haemodynamic values were recorded at predetermined timed intervals and intraoperative events up to and including aortic cannulation. For analysis of the data, patients were divided into four age groups ( 7 years). __Results__: Haemodynamic stability was demonstrated in all four age groups. Statistically significant slowing of the heart rate

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Author

Julia C. Finkel; M. Gail Boltz; Aisling M. Conran

Publisher

John Wiley and Sons; Wiley (Blackwell Publishing); Blackwell Publishing Inc.; Wiley (ISSN 1155-5645)

Published

2003

Language

EN

Field

Medicine (Health Sciences)