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Spinal anesthesia compared with general anesthesia for neonates with hypertrophic pyloric stenosis: A retrospective study

Paediatric Anaesthesia Jul 26, 2019

Sánchez-Conde MP, et al. - Researchers retrospectively analyzed infants undergoing pyloromyotomy between 2003-2017 at the University Hospital of Salamanca, to compare spinal anesthesia to general anesthesia in terms of respiratory morbidity in this pediatric population. The prevalence of apnea was evaluated as the primary outcome. Of 68 infants and neonates included in this study, 48 received spinal anesthesia and 20 received general anesthesia for pyloromyotomy. In terms of apneic episodes post-surgery, a significant difference was found between general (number/percentage = 5/20, 25%) and spinal (number/percentage = 0/48, 0%) groups. In this study, spinal anesthesia was found as a viable alternative to general anesthesia in neonates with hypertrophic pyloric stenosis undergoing pyloromyotomy, attenuating the respiratory morbidity related to the latter.
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