A REVIEW OF CAUDAL ANESTHESIA IN INFANTS AND CHILDREN AT BAHRAMI CHILDRENīS HOSPITAL
Assoc. Prof. Mohammad Esmaeil Darabi
6 slide(s) – English – 2011-09-08
Department of Anesthesia and Critical Care, Tehran University of Medical Sciences, Tehran , Iran
Background and aims: Caudal anesthesia as a common analgesic technique for children undergoing lower abdominal surgery is performed in conjunction with general anesthesia.
Methods: 300 Caudal blocks were performed as a routine post-operative analgesic method in lateral position with marcaine 0.8-1.1 ml/kg (0.25 %) + epinephrine 5microgram/ml soon after induction of general anesthesia.
Results: Data were obtained from 130 infants and 170 children. Median age was 1.6 (0.3- 4) year and median body weight was 11 (5-15.5) kg. Caudal block was successful in 96.6% of cases without any adverse event. Failure rate was similar in both infants and children.
Conclusions: Caudal block under general anesthesia is a safe alternative for post-operative pain management, specially in infants born before 60 weeks of post-conceptual age with significant risk of apnea. Bahrami Childrenīs Hospital is a university hospital with residents involvement in procedures.
Ethical Committee Approval: Yes
infants; children; caudal block;