Comparative Study between General Anesthesia and Spinal Anaesthesia in Paediatric Patients

ABSTRACT

Introduction: Anaesthesia Comprises of analgesia,unconsciousness, relaxation and suppression of reflexes. Thisstate of Anaesthesia can be achieved either by regional orGeneral Anaesthesia (GA). In G.A all the four parameters arefulfilled, where as in regional Anaesthesia the patient need notbe unconscious. Study aimed to prove the supremacy of spinalanaesthesia to general anaesthesia.Material and methods: A Comparative study was done insixty patients divided into two groups as Group ‘S’ receivedspinal anaesthesia with Butivacaine 0.5%, 0.4mg/kg bodyweight. Group ‘G’ (General Anaesthesia) consisting thirtypatients were given G.A relaxant technique with IPPV.Results: ‘S’ group is hemodynamically more stable in theimmediate post operative period when compared with the ‘G’group. Conscious levels 100% of S group patients showed nosign of altered consciousness. Where as 9 out of 30 patientsi.e 28% G group patients were drowsy in the immediate postoperative period and needed observation for a longer period.No notable complications like nausea, vomiting, or urinaryretention were noticed in both groups.Conclusion: No complications were noted in both groupspatients were drowsy in ‘G’ group, but all are awake andco-operative in ‘S’ group.It can be concluded that the subarachnoid block is proved to be a better choice for the belowthe umbilical level surgeries in pediatric patients as it is havingno complications and will be accepted by surgical team andparents