title: Regional anaesthesia decreases the need for postoperative mechanical ventilation in very low birth weight infants undergoing herniorrhaphy.
abstract: BACKGROUND
  We were interested to know whether regional anaesthesia allowed improved respiratory function postoperatively in very low birth weight babies.
  
  
  METHODS
  We performed a retrospective study to examine the association between regional anaesthesia and postoperative ventilation after herniorrhaphy in very low birth weight infants. Thirty-four prematurely born infants underwent herniorrhaphy from 1995 to 1997 at St Louis Children Hospital. Eighteen patients had general anaesthesia, 16 had regional anaesthesia. The mean gestational age was 26 weeks, mean postconceptual age at surgery was 38 weeks, mean birth weight was 860 g.
  
  
  RESULTS
  There was significant difference in postoperative ventilation support requirements between the two study groups (7/18 versus 1/16, P < 0.05).
  
  
  CONCLUSIONS
  Regional anaesthesia decreases the need for postoperative ventilatory support requirements in very low birth weight infants undergoing herniorrhaphy.
authors.affiliation: Department of Anesthesiology, Washington University School of Medicine, Washington University Medical Center, St Louis, MO, USA. jeffrey_j_huang@hotmail.com
authors.forename: J J
authors.initials: JJ
authors.lastname: Huang
authors.forename: G
authors.initials: G
authors.lastname: Hirshberg
mesh_terms: D000765:Anesthesia, Conduction; D000768:Anesthesia, General; D013505:Digestive System Surgical Procedures; D005260:Female; D059685:Herniorrhaphy; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D019102:Infant, Very Low Birth Weight; D008297:Male; D011182:Postoperative Care; D012121:Respiration, Artificial; D012129:Respiratory Function Tests; D012189:Retrospective Studies