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Korean Journal of Anesthesiology 2006;51(2):252-256.
DOI: https://doi.org/10.4097/kjae.2006.51.2.252   
Spinal Anesthesia for a Formerly Premature Infant with Unilateral Vocal Cord Paralysis Undergoing Inguinal Herniorrhaphy: A case report.
Duck Kyoung Kim, Jin Seok Yeo, Chung Sik Oh
Department of Anesthesiology and Pain Medicine, College of Medicine, Konkuk University, Seoul, Korea. dikei@kuh.ac.kr
In premature infants, the incidence of inguinal hernia has been reported to be 14-30%. It is generally accepted that inguinal hernia should be repaired as soon as possible, as the incidence of incarceration is higher in infant than in children. However, the risk of life-threatening apnea after surgery is significant in this age group. Spinal anesthesia in premature infants offer a safe alternative to general anesthesia, especially if intubation should be avoid because of coexisting disease. We present a case of successful spinal anesthesia for inguinal herniorraphy in a premature female infant at a postconceptual age 44 + 6 weeks weighing 2,620 g with coexisting unilateral vocal cord paralysis to illustrate technical details and feasibility of this technique even in very low birth weight (birth weight < 1,500 g) infants.
Key Words: herniorraphy; infant; premature; spinal anesthesia


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