Neuraxial anesthesia in children with ventriculoperitoneal shunts

Anthony B. Longhini; Eric C Cheon; John Hajduk; Robin Bowman; Patrick K Birmingham

doi:10.1213/ANE.0000000000003312

Neuraxial anesthesia in children with ventriculoperitoneal shunts

Anthony B. Longhini^*, Eric C Cheon, John Hajduk, Robin Bowman, Patrick K Birmingham

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

Neuraxial anesthesia has been demonstrated to be safe and effective for children undergoing subumbilical surgery. There is limited evidence regarding the safety of neuraxial anesthesia in pediatric patients with a ventriculoperitoneal shunt. We evaluated a series of 25 patients with indwelling ventriculoperitoneal shunts for complications within 30 days of any procedure performed with a neuraxial technique. One patient required a ventriculoperitoneal shunt revision 5 days after a lumbar catheter placement. The neurosurgeon determined the revision to be likely unrelated to the patient's lumbar catheter. Concerns about the use of neuraxial anesthesia in patients with an indwelling ventriculoperitoneal shunt may be overstated.

Original language	English (US)
Pages (from-to)	188-189
Number of pages	2
Journal	Anesthesia and analgesia
Volume	127
Issue number	1
DOIs	https://doi.org/10.1213/ANE.0000000000003312
State	Published - Jul 1 2018

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

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AU - Birmingham, Patrick K

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AB - Neuraxial anesthesia has been demonstrated to be safe and effective for children undergoing subumbilical surgery. There is limited evidence regarding the safety of neuraxial anesthesia in pediatric patients with a ventriculoperitoneal shunt. We evaluated a series of 25 patients with indwelling ventriculoperitoneal shunts for complications within 30 days of any procedure performed with a neuraxial technique. One patient required a ventriculoperitoneal shunt revision 5 days after a lumbar catheter placement. The neurosurgeon determined the revision to be likely unrelated to the patient's lumbar catheter. Concerns about the use of neuraxial anesthesia in patients with an indwelling ventriculoperitoneal shunt may be overstated.

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