Spinal anesthesia in infants with ventriculoperitoneal shunt: Report of five cases and review of literature

Ludmyla Kachko, Cari M. Platis*, Gilat Livni, Evelyna Tarabikin, Shalom Michowiz, Jacob Katz

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

We describe five cases of children with ventriculoperitoneal shunt who underwent abdominal and perineal procedures under spinal anesthesia. Four of them had been born prematurely, and all had suffered from severe neonatal complications. All of our patients suffered from severe respiratory impairment, that had required mechanical ventilation, and three of them suffered additionally from apnea of prematurity. Four patients had ventriculoperitoneal shunt inserted because of obstructive hydrocephalus and one because of congenital central nervous system anomalies. Two underwent subsequently shunt revision. The benefits of spinal anesthesia in this high-risk population are described. The risks of spinal anesthesia in the presence of a ventricular shunt device, especially infection and dural leakage, are discussed, and the literature about this topic briefly reviewed.

Original languageEnglish
Pages (from-to)578-583
Number of pages6
JournalPaediatric Anaesthesia
Volume16
Issue number5
DOIs
StatePublished - May 2006
Externally publishedYes

Keywords

  • Infection
  • Prematurity
  • Spinal anesthesia
  • Ventriculoperitoneal shunt

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