The main disadvantage of caudal anaesthesia
is the short duration of action after a single injection of local anaesthetic solution.
was performed under aseptic conditions in the left lateral position with 23 gauge needle using a standard loss of resistance technique.
Bupivacaine in children: Pharmacokinetics following caudal anaesthesia
This occurred in a five-month-old infant in whom transient laryngospasm was noted during performance of caudal anaesthesia
An increase in the HR or MAP within 15 minutes of skin incision indicated failure of caudal anaesthesia
Bupivacaine is the most frequently used local anaesthetic for caudal anaesthesia
in children that provides reliable and long-lasting anaesthesia and analgesia.
provides excellent analgesia, which prevents sympathetic response to surgical stimuli.
Da Conceicao MJ, Coehol: caudal anaesthesia
Heart rate (HR), Systolic blood pressure (SBP), and Peripheral arterial saturation (SPO2) were recorded before the induction of anaesthesia and every 5min after the placement of caudal anaesthesia
till the end of surgery.
Danielli L, Linder A et al studied caudal anaesthesia
Spinal, epidural and caudal anaesthesia
, millers' Anaesthesia 7th ed.
under sedation: a prospective analysis of 512 infants and children.
Various randomized control trial done so far shows encouraging results for its use in intravenous sedation, as adjuvants in spinal, (8,9) epidural, (10) caudal anaesthesia
, (11) Studies by Brummett et al.
Could adding magnesium as adjuvant to ropivacaine in caudal anaesthesia
improve postoperative pain control.
Jonex R D, Gunawardene W M, Yeung C K, A comparison of lignocaine 2% with adrenaline 1:200000 and lignocaine 2% with adrenaline 1:200000 plus fentanyl as agent for caudal anaesthesia
in children undergoing circumcision.