Pediatric anesthesia & critical care
Characterization of infant spinal anesthesia using surface electromyography: An observational study
Main finding · Onset rate (mean percent decrease per second) and pre-post signal attenuation (mean decibels) by myotome; durationResult — go to the resultF (3, 35) 7.42Authors' conclusion
Surface electromyography can be used to characterize neural blockade in children. Importantly, these results suggest that awake infant spinal anesthesia motor block lasts, conservatively, 90 min.
Study context
- Population
- Infants undergoing lower abdominal surgery under spinal anesthesia (0.5% bupivacaine with clonidine)all male
- Participants
- 13 infants
- Exposure
- Surface electromyography signal between myotomes (T2, right T8, left T8, L2) before vs after spinal anesthesia
- Outcome
- Onset, density and duration of infant spinal anesthesia by surface electromyography
Main finding
As reported in the abstract
Onset rate (mean percent decrease per second) and pre-post signal attenuation (mean decibels) by myotome; duration
F (3, 35)
7.42
P < 0.001
By group
Observational data: associations, not effects.
Further findings
Mean sEMG signal across pre- and postspinal timepoints (mean decibels)
F 32.63 · P < 0.0001
Age and weight vs onset or duration
- No significant associations
Original publication
Characterization of infant spinal anesthesia using surface electromyography: An observational study. Paediatr Anaesth. Published 3 October 2023. doi:10. 1111/ pan. 14774
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