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EFFECTIVENESS OF SPINAL ANESTHESIA AMONG CHILDREN SUFFERING FROM CEREBRAL PALSY WHO UNDERWENT ORTHOPEDIC SURGERY

Javairia Saleem, Sayyeda Khadija Bukhari, Uzma Khalid

Objective: One of the most common neuro-muscular complications in children is cerebral palsy. Spinal Anesthesia among children is a progressing method with many benefits in peri-surgical administration. The main purpose of this retrograde research work was to provide the examination of the children suffering from cerebral palsy and orthopedic surgical intervention under the impact of Spinal Anesthesia. Methodology: Medical records of children suffering from Cerebral Palsy who underwent orthopedic surgical intervention under Spinal Anesthesia from June 2018 to September 2019 were reviewed in this research work. In all these patients, the performance of lumbar puncture carried out in the lateral decubitus position by mask sevoflurane nitrous-oxide anesthesia. In the calm patients before spinal block, we terminated inhalation anesthesia. Among restless patient’s prior spinal block, we combined the anesthesia with the light sevoflurane anesthesia and laryngeal mask. We noted the amounts of efforts needed for the completion of lumber puncture, success rates of Spinal Anesthesia and peri-surgical complications from the records of anesthesia. We expressed the data in percentages and numbers. Results: There were 36 patients in this research work in which 20 were girls and 16 were boys. The average age of the patients was 71 months. 86% was the rate of obtaining subarachnoid space on very 1st attempt. We considered the Spinal Anesthesia successful in all the patients. In 26 patients, there was requirement of laryngeal mask and light sevoflurane anesthesia to regulate the ideal condition of surgery. We observed no major peri-surgical complication in this research work. Conclusion: Spinal Anesthesia alone or in combination with the light sevoflurane anesthesia is very reliable method with very high rates of success in the children suffering from Cerebral Palsy and underwent orthopedic surgical intervention. KEY WORDS: Spinal Anesthesia, Cerebral Palsy, Anesthesia, Orthopedic, Laryngeal, Surgery, Intervention.