Society for Pediatric Pain Medicine
Better Care for Children in Pain

The Society for Pediatric Pain Medicine (SPPM) aims to advance the quality of anesthesia care and the alleviation of pain-related conditions in children.

Society for Pediatric
Pain Medicine

Better Care for Children in Pain

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Question of the Month – September 2017

Welcome to your Question of the Month - September 2017

Spinal anesthesia in infants is a viable anesthesia technique for surgeries such as inguinal hernia. A 2 month-old former 30 week gestation female is scheduled for a unilateral inguinal hernia repair. The resident on the case has a strong desire to perform the spinal. How does practitioner level (Attending/CRNA/Resident) matter in terms of success/failure of placement of an infant spinal?

A) Spinal success rate is similar regardless of practitioner type

B) Anesthesia attendings have as much as 15 times lower failure rate than a resident

C) In order of highest success rate- anesthesia attending>resident>CRNA

D) Ability to obtain CSF flow is similar with all practitioners, but block effectiveness varies with practitioner type

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