{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T18:21:33Z","timestamp":1776450093470,"version":"3.51.2"},"reference-count":37,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,2,22]],"date-time":"2022-02-22T00:00:00Z","timestamp":1645488000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Pediatric spinal anesthesia is an old technique whose use is not widespread, in spite of reducing the risk of cardiorespiratory events (hypoxemia, bradycardia, and hypotension) associated with general anesthesia, especially in neonates and infants. This retrospective cohort study aimed to assess the safety and effectiveness of the pediatric spinal anesthesia program at our tertiary care hospital over 11\u00a0years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two hundred children, between 8\u00a0days and 13\u00a0years of age, who underwent lower body surgery under spinal anesthesia from May 2010 to July 2021 were included. Demographic and procedural data were collected, and success, failure, and complication rates calculated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The success rate was 97.5% (<jats:italic>n<\/jats:italic>\u00a0=\u00a0195). The incidence of complications was 2% (<jats:italic>n<\/jats:italic>\u00a0=\u00a04). They were 2 cases of intraoperative hypoxemia and 2 cases of postoperative postdural puncture headache , and they quickly resolved with no sequelae.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Pediatric spinal anesthesia is a safe and effective technique with good acceptance among anesthesiologists. Thus, the implementation of a pediatric spinal anesthesia program at a tertiary care hospital is feasible and affordable.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.14414","type":"journal-article","created":{"date-parts":[[2022,2,14]],"date-time":"2022-02-14T03:52:47Z","timestamp":1644810767000},"page":"617-624","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Pediatric spinal anesthesia at a tertiary care hospital: Eleven years after"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7431-3892","authenticated-orcid":false,"given":"Ram\u00f3n","family":"Eizaga Rebollar","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Reanimation Puerta de Mar University Hospital  C\u00e1diz Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Victoria","family":"Garc\u00eda Palacios","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Public Health Puerta del mar University Hospital  C\u00e1diz Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier","family":"Morales Guerrero","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Reanimation Puerta de Mar University Hospital  C\u00e1diz Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis Miguel","family":"Torres Morera","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Reanimation Puerta de Mar University Hospital  C\u00e1diz Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,2,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2021.02.016"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACO.0000000000000467"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(17)30116-9"},{"key":"e_1_2_10_5_1","first-page":"361","article-title":"Experiment regarding the cocainization of the spinal cord","volume":"51","author":"Bier A","year":"1899","journal-title":"Zentralbl Chir"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-195105000-00013"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-198403000-00015"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.135.4.445"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40272-017-0230-8"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e31825d9f4b"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000000709"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-9185.125687"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2011.03693.x"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpa.2010.02.018"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1213\/XAA.0000000000000810"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000001870"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACO.0000000000000578"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACO.0000000000000199"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.13156"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000421"},{"key":"e_1_2_10_21_1","unstructured":"U.S.Food and Drug administration FDA review results in new warnings about using general anesthetics and sedation drugs in young children and pregnant women.2016. 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