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Local Anesthesia May Be Best for Infants During Surgery

Study found not putting young patients to sleep tied to fewer breathing problems afterwards

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THURSDAY, May 14, 2015 (HealthDay News) -- New research suggests infants may recover better after some kinds of surgery if they receive local anesthesia -- which only numbs part of the body -- instead of being "knocked out" completely with general anesthesia.

Young patients who had local anesthesia were less likely to suffer from disrupted breathing following hernia surgery, the study found.

"Our research provides the strongest evidence to date on how babies should have anesthesia for hernia repair, the most common procedure among infants," said lead author Dr. Andrew Davidson, an associate professor at Royal Children's Hospital in Melbourne, Australia.

"We found that spinal [local] anesthesia is safer than general anesthesia," Davidson explained in a news release from the American Society of Anesthesiologists.

There's long been uncertainty about the use of general anesthesia in infants and toddlers. Some specialists worry that it could cause long-term problems. Local anesthesia doesn't put a patient to sleep, but instead numbs specific parts of the body.

The new study looked at rates of breathing problems in 722 infants after they had been given anesthesia. The results suggest local anesthesia causes fewer breathing problems in the 30 minutes after surgery.

Dr. Geoff Frawley, physician anesthesiologist and a clinical associate professor at Royal Children's Hospital, looked at the medical records of 339 patients to see how they fared under local anesthesia administered through the spine.

"Every year, millions of children require surgery in their first year of life," Frawley said in the news release. "We aimed to establish which factors are associated with better outcomes when infant spinal anesthesia is used. We found that there is a steep learning curve among anesthesia providers for infant spinal anesthesia, but learning the technique could have a far-reaching impact for infants undergoing surgery."

The study was published in the May 14 online edition of the journal Anesthesiology.

More information

The U.S. Food and Drug Administration has more on anesthesia for children.

SOURCE: American Society of Anesthesiologists, news release, May 14, 2015


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