Abstract：
To review experience with outpatient spinal anesthesia (SA) from a single center in infants ≤6 months of age.
Retrospective review of all SAs performed in the ambulatory setting in the outpatient surgery centers in infants ≤6 months of age from 2016 to 2020, focusing on success rate, adverse events, post-anesthesia care unit (PACU) times, and emergency department (ED) or urgent care (UC) returns within 7 days of the operation.
The study cohort included 175 SAs performed on 173 patients ≤6 months of age. One hundred and sixty-two patients (93%) were able to undergo their respective surgical procedures under SA without conversion to general anesthesia. One hundred and thirty-six patients (78%) did not require additional sedation or analgesic agents. The median time from entering the operating room until the start of surgical procedure was 17 min. One hundred and twenty-six patients (72%) were able to bypass Phase I of the PACU. One hundred and forty-seven patients (86%) were discharged in less than two hours postoperatively. Only one complication related to SA was noted. This was a patient who returned on postoperative day 2 with a possible CSF leak noted by ultrasound. After overnight hospital floor admission, he was discharged the next day after receiving intravenous fluids without further sequelae.
SA is a viable option for anesthetic care in infants ≤6 months of age presenting for outpatient surgery. Advantages included the ability to bypass PACU Phase I and facilitation of hospital discharge.
IV. Retrospective cohort treatment study.
Retrospective review of all SAs performed in the ambulatory setting in the outpatient surgery centers in infants ≤6 months of age from 2016 to 2020, focusing on success rate, adverse events, post-anesthesia care unit (PACU) times, and emergency department (ED) or urgent care (UC) returns within 7 days of the operation.
The study cohort included 175 SAs performed on 173 patients ≤6 months of age. One hundred and sixty-two patients (93%) were able to undergo their respective surgical procedures under SA without conversion to general anesthesia. One hundred and thirty-six patients (78%) did not require additional sedation or analgesic agents. The median time from entering the operating room until the start of surgical procedure was 17 min. One hundred and twenty-six patients (72%) were able to bypass Phase I of the PACU. One hundred and forty-seven patients (86%) were discharged in less than two hours postoperatively. Only one complication related to SA was noted. This was a patient who returned on postoperative day 2 with a possible CSF leak noted by ultrasound. After overnight hospital floor admission, he was discharged the next day after receiving intravenous fluids without further sequelae.
SA is a viable option for anesthetic care in infants ≤6 months of age presenting for outpatient surgery. Advantages included the ability to bypass PACU Phase I and facilitation of hospital discharge.
IV. Retrospective cohort treatment study.
摘要：
回顾单中心≤6个月婴儿门诊脊髓麻醉（SA）的经验。
回顾性回顾2016年至2020年在门诊手术中心对年龄≤6个月的婴儿进行的所有SAs，重点是成功率，不良事件,麻醉后护理单元（PACU）次数，和急诊科（ED）或紧急护理（UC）在手术后7天内返回。
研究队列包括对173例≤6个月的患者进行的175例SAs。一百六十二名患者（93％）能够在SA下接受各自的外科手术，而无需转换为全身麻醉。136名患者（78％）不需要额外的镇静剂或镇痛剂。从进入手术室到手术开始的中位时间为17分钟。126名患者（72％）能够绕过PACU的I期。147名患者（86％）在术后不到两个小时内出院。仅发现一例与SA相关的并发症。这是一名患者，在术后第2天返回，超声发现可能存在CSF泄漏。入院过夜后，他在接受静脉输液后第二天出院，没有进一步的后遗症。
对于年龄≤6个月的门诊手术婴儿，SA是一种可行的麻醉护理选择。优势包括能够绕过PACU第一阶段和促进出院。
IV.回顾性队列治疗研究。
回顾性回顾2016年至2020年在门诊手术中心对年龄≤6个月的婴儿进行的所有SAs，重点是成功率，不良事件,麻醉后护理单元（PACU）次数，和急诊科（ED）或紧急护理（UC）在手术后7天内返回。
研究队列包括对173例≤6个月的患者进行的175例SAs。一百六十二名患者（93％）能够在SA下接受各自的外科手术，而无需转换为全身麻醉。136名患者（78％）不需要额外的镇静剂或镇痛剂。从进入手术室到手术开始的中位时间为17分钟。126名患者（72％）能够绕过PACU的I期。147名患者（86％）在术后不到两个小时内出院。仅发现一例与SA相关的并发症。这是一名患者，在术后第2天返回，超声发现可能存在CSF泄漏。入院过夜后，他在接受静脉输液后第二天出院，没有进一步的后遗症。
对于年龄≤6个月的门诊手术婴儿，SA是一种可行的麻醉护理选择。优势包括能够绕过PACU第一阶段和促进出院。
IV.回顾性队列治疗研究。
