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Spinal anesthetics: neonatal indications

Although a Cochrane Database Review suggests that there is no advantage of spinal over GA for premature or former premature infants undergoing inguinal hernia repair [Craven PD et al. Cochrane Database Syst Rev. CD003669, 2003], spinals are still often used by pediatric anesthesiologists for “high risk” patients. Most neonates who get spinals are either formerly premature or neurologically impaired [Kachko L et al. Paediatr Anaesth 17: 647, 2007].


  1. Ludmyla Kachko, Eliahu Simhi, Elena Tzeitlin, Rachel Efrat, Evelina Tarabikin, Elia Peled, Iulia Metzner, Jacob Katz Spinal anesthesia in neonates and infants – a single-center experience of 505 cases. Paediatr Anaesth: 2007, 17(7);647-53 PubMed Link