Levobupivacaine for Spinal Anesthesia in Children: Cerebrospinal Fluid Aspiration Before the Injection Does not Affect the Spread or Duration of the Sensory Block.

ABSTRACT:

Background

Several factors are thought to affect the spread and duration of spinal anesthesia (SA) in adults. These include the volume of cerebrospinal fluid (CSF) in the lumbar spinal canal, which has a negative correlation with both the spread and duration of the sensory block.

Objectives

We evaluated whether CSF aspiration before an injection of levobupivacaine affected the spread or duration of SA in children.

Patients and methods

SA was induced by levobupivacaine (5 mg/mL, 0.25 - 0.5 mg/kg) in 186 children aged 10 months to 18 years (mean of 7.5 years). Two groups were analyzed prospectively: 93 children from which 1 - 3 mL of CSF (CSF-aspiration group) was aspirated before the injection of levobupivacaine to induce SA and 93 children from which no CSF was aspira

SUBMITTER: Kokki M 

PROVIDER: S-EPMC5018151 | biostudies-literature | 2016 Jun

REPOSITORIES: biostudies-literature