The Successful Awake Caudal Anesthesia for Bilateral Inguinal Hernia Repair in Triple Premature Infants: Case report and Review of Literature

Mahin Seyedhejazi, Tohid Karami, Afshin Iranpour, Haleh Farzin

Abstract


Introduction: Inguinal hernia is a more frequent problem in male infants with an increased incidence in twin ones. Prematurity is considered as a risk factor. During open surgery of hernia under general anesthesia, there is a high incidence of apnea especially in the preterm infants. Caudal anesthesia could been a more effective approach for induction of anesthesia and analgesia. Case presentation: Here, we presented three two-months-old infants (3.5-3.9 kg) for inguinal hernia repair, simultaneously who were born at 35 weeks’ gestation al age. They were undergone bilateral inguinal hernia repair with single shot awake caudal anaesthesia. Conclusion: Although herrniorraphy is a common procedure in preterm infants, the induction of simultaneous caudal anesthesia for this procedure is rare event. On the other hand, the complications of anestethic techniques such as apnea are important.Indeed, triple infants with based same genetic background didn’t show any undesirable events after anaesthesia.

Keywords


Awake, Caudal Anaesthesia, Premature, Infants

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References


Coran, A.G., et al., Pediatric Surgery E-Book. Vol. 2. 2012: Elsevier Health Sciences.

Holcomb, G.W., J.D. Murphy, and D.J. Ostlie, Ashcraft's Pediatric Surgery E-Book. 2014: Elsevier Health Sciences.

Mueller, C.M., et al., Regional block via continuous caudal infusion as sole anesthetic for inguinal hernia repair in conscious neonates. Pediatric surgery international, 2017. 33(3): p. 341-345.

Seyedhejazi, M., et al., Success rates and complications of awake caudal versus spinal block in preterm infants undergoing inguinal hernia repair: A prospective study. Saudi journal of anaesthesia, 2015. 9(4): p. 348.

Craven, P.D., et al., Regional (spinal, epidural, caudal) versus general anaesthesia in preterm infants undergoing inguinal herniorrhaphy in early infancy. The Cochrane Library, 2003.

Jones, L.J., et al., Regional (spinal, epidural, caudal) versus general anaesthesia in preterm infants undergoing inguinal herniorrhaphy in early infancy. Cochrane database of systematic reviews, 2015(6).

El-Enein, K.M.A., et al., Comparison between intrathecal bupivacaine, intrathecal bupivacaine plus dexmedetomidine, and caudal anesthesia with bupivacaine in pediatric patients. Menoufia Medical Journal, 2018. 31(4): p. 1200.

-Bouchut JC, Dubois R, Godard J. Clonidine in preterm-infant caudal anesthesia may be responsible for postoperative apnea. Reg Anesth Pain Med. 2001 Jan-Feb;26(1):83-5.

Coran, A.G., et al., Pediatric Surgery E-Book. Vol. 2. 2012: Elsevier Health Sciences.

Holcomb, G.W., J.D. Murphy, and D.J. Ostlie, Ashcraft's Pediatric Surgery E-Book. 2014: Elsevier Health Sciences.

Mueller, C.M., et al., Regional block via continuous caudal infusion as sole anesthetic for inguinal hernia repair in conscious neonates. Pediatric surgery international, 2017. 33(3): p. 341-345.

Seyedhejazi, M., et al., Success rates and complications of awake caudal versus spinal block in preterm infants undergoing inguinal hernia repair: A prospective study. Saudi journal of anaesthesia, 2015. 9(4): p. 348.

Craven, P.D., et al., Regional (spinal, epidural, caudal) versus general anaesthesia in preterm infants undergoing inguinal herniorrhaphy in early infancy. The Cochrane Library, 2003.

Jones, L.J., et al., Regional (spinal, epidural, caudal) versus general anaesthesia in preterm infants undergoing inguinal herniorrhaphy in early infancy. Cochrane database of systematic reviews, 2015(6).

El-Enein, K.M.A., et al., Comparison between intrathecal bupivacaine, intrathecal bupivacaine plus dexmedetomidine, and caudal anesthesia with bupivacaine in pediatric patients. Menoufia Medical Journal, 2018. 31(4): p. 1200.

-Bouchut JC, Dubois R, Godard J. Clonidine in preterm-infant caudal anesthesia may be responsible for postoperative apnea. Reg Anesth Pain Med. 2001 Jan-Feb;26(1):83-5.

- Fellmann C, Gerber AC, Weiss M. Apnoea in a former preterm infant after caudal bupivacaine with clonidine for inguinal herniorrhaphy. Paediatr Anaesth. 2002 Sep;12(7):637-40.




DOI: http://dx.doi.org/10.7575/aiac.abcmed.v.9n.1p.44

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