Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2017 Mar 31:10:25-29.
doi: 10.2147/LRA.S123157. eCollection 2017.

Spinal anesthesia after intraoperative cardiac arrest during general anesthesia in an infant

Emmett E Whitaker  1   2 , Veronica Miler  1   2 , Jason Bryant  1   2 , Stephanie Proicou  1 , Rama Jayanthi  3   4 , Joseph D Tobias  1   2
Affiliations
Case Reports

Spinal anesthesia after intraoperative cardiac arrest during general anesthesia in an infant

Emmett E Whitaker et al. Local Reg Anesth. .

Abstract

Although generally safe and effective, severe perioperative complications, including cardiac arrest, may occur during general anesthesia in infants. With the emergence of evidence that specific anesthetic agents may affect future neurocognitive outcomes, there has been an increased focus on alternatives to general anesthesia, including spinal anesthesia. We present a case of cardiac arrest during general anesthesia in an infant who required urologic surgery. During the subsequent anesthetic care, spinal anesthesia was offered as an alternative to general anesthesia. The risks of severe perioperative complications during general anesthesia are reviewed, etiologic factors for such events are presented, and the use of spinal anesthesia as an alternative to general anesthesia is discussed.

Keywords: child; complications; pediatric anesthesia.

PubMed Disclaimer

Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

Comment in

  • Spinal anesthesia: the Holy Grail?
    Voet M, Slagt C. Voet M, et al. Local Reg Anesth. 2017 Jun 23;10:59-60. doi: 10.2147/LRA.S139852. eCollection 2017. Local Reg Anesth. 2017. PMID: 28721094 Free PMC article. No abstract available.

Similar articles

See all similar articles

Cited by

  • Spinal anesthesia: the Holy Grail?
    Voet M, Slagt C. Voet M, et al. Local Reg Anesth. 2017 Jun 23;10:59-60. doi: 10.2147/LRA.S139852. eCollection 2017. Local Reg Anesth. 2017. PMID: 28721094 Free PMC article. No abstract available.

References

    1. Bier A. Experiment regarding the cocainization of the spinal cord. Zentralbl Chir. 1899;51:361–369.
    1. Bainbridge WS. A report of twelve operations on infants and young children during spinal anesthesia. Arch Pediatr. 1901;18:570–574.
    1. Tyrell-Gray H. A study of spinal anaesthesia in children and infants. Lancet. 1909;2:913–917.
    1. Abajian JC, Mellish RWP, Browne AF, et al. Spinal anesthesia for surgery in the high-risk infant. Anesth Analg. 1984;63(3):359–362. - PubMed
    1. Sartorelli KH, Abajian JC, Kreutz JM, Vane DW. Improved outcome utilizing spinal anesthesia in high-risk infants. J Pediatr Surg. 1992;27(8):1022–1025. - PubMed

Publication types

LinkOut - more resources