Spinal anesthesia is a valid alternative to other anesthetic approaches for children with neuromuscular disease, and dexmedetomidine sedation is a safe method for pediatric regional anesthesia.

摘要

We read the excellent review article in the special issue of 'Pediatric Regional Anesthesia', Spinal blocks, by Hannu Kokki (1) with great interest. We have been using spinal anesthesia in pediatric patients for the last decade, and we have recently published our results regarding the pediatric spinal anesthesia (2). Besides, we also widely used pediatric regional anesthesia techniques in our clinic whenever possible (2-6). We want to draw attention to two points about the review article by Hannu Kokki (1). Firstly, in the section 'Indications for spinal anesthesia', the author mentioned that spinal anesthesia might be useful for children with neuromuscular or pulmonary disease.