China
Africa
Explore chapters and articles related to this topic
Caudal Anesthesia
Published in Bernard J. Dalens, Jean-Pierre Monnet, Yves Harmand, Pediatric Regional Anesthesia, 2019
Bernard J. Dalens, Jean-Pierre Monnet, Yves Harmand
Caudal anesthesia is the regional block that should be considered first for operations on the lower part of the abdomen (below the umbilicus) and on the pelvis. Plastic surgery of the foreskin does not require a central block technique, which is excessive when a penile block produces equally satisfactory analgesia of the foreskin and is easier to perform.
The Spinal Cord and the Suboccipital Triangle
Published in Gene L. Colborn, David B. Lause, Musculoskeletal Anatomy, 2009
Gene L. Colborn, David B. Lause
In contrast to spinal anesthesia, caudal anesthesia for more inferior nerve roots can be produced by placing the needle through the sacral hiatus into the epidural space. Such a procedure is not without risk, however; an improperly directed needle can pass through the sacrum by way of a ventral sacral foramen into pelvic organs. A baby in utero can be gravely injured in this way.
Effect of tramadol as a local anesthetic adjuvant in epidural labor analgesia: Randomized controlled study
Published in Egyptian Journal of Anaesthesia, 2021
Radwa Fathy Mansour, Mohamed Elsayed Afandy
After epidural administration of tramadol, it absorbed through epidural venous plexus and distributed to serum [6]. This is maybe responsible for any systemic effects. Sedation score was significantly higher in tramadol group from 30 to 120 min reading as compared to bupivacaine group. That is maybe of benefit as it decreased maternal anxiety. Gupta et al. [24] reported that 14 patients out of 30 patients had sedation in tramadol group when compared to butorphanol group in epidural analgesia. However, Gupta et al. [25] in their study comparing the effect of adding either dexmedetomidine or tramadol to ropivacaine in caudal anesthesia in pediatric, they reported that the level of sedation in tramadol group was generally less than 2. Also, Results from Swathi et al. [26] reported a lower sedation score. Both of these studies differ in that they use the Ramsay sedation scale.
The Effectiveness of Caudal Block with Low Doses of Dexmedetomidine and Pethidine in Transrectal Prostate Biopsy: Preliminary Results
Published in Journal of Investigative Surgery, 2022
Osman Akyüz, Bahriye Kılıç, Sertan Gündoğan, Müslüm Ergün, Mehmet Nuri Bodakçı, Soner Çoban, Ahmet Hamdi Tefekli, Kamil Çam
CB is the delivery of local anesthetic solutions to the epidural space through the sacral hiatus. It is an easy, rapid, and safe technique that enables early patient mobilization [14]. However, the application of CB is more difficult in adults than in pediatric patients due to the difficulty in identifying the sacral hiatus given anatomical variations. Two factors are reportedly important in successful CB, namely sufficient volume and concentration, with the lowest acceptable volume being 10 mL [15]. Caudal anesthesia can be performed with the help of ultrasonography or fluoroscopy, which have increased success rates to 96–100% [15]. In this study, CB was performed by an experienced anesthesiologist, with the help of ultrasonography, with an overall success rate of 93.15%.
Effect of caudal nalbuphine on postoperative emergence agitation in pediatrics undergoing infra-umbilical surgeries: Randomized double-blind study
Published in Egyptian Journal of Anaesthesia, 2023
Mohamed F. Mostafa, H.A. Youssef, Rehab Okely, Ahmed Aboulfotouh
In patients having abdominal or lower-limb surgery, caudal epidural analgesia is a dependable and secure approach that can be utilized with general anesthesia for intraoperative and postoperative analgesia. Additionally, it is simple to perform on younger kids. The primary drawback of caudal anesthesia is its limited duration of effect following a single local anesthetic injection. Only 4–8 h of analgesia are provided by even long-acting local anesthetic medications like bupivacaine. Prolongation of caudal analgesia using a “single-shot” technique has also been achieved by the addition of various adjuvants [7].