CAUDAL EPIDURAL ANESTHESIA IN PEDIATRIC PATIENTS

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Abstract


Caudal epidural block is the most widely used regional anesthetic technique in children. Its popularity in pediatric anesthesia is mainly due to its broad spectrum of indications, high success rates, and a relative low incidence of complications. The caudal epidural block is generally used for not only lower abdominal or lower extremity surgery but also for upper abdominal surgery via administration of adjuncts such as morphine, which has hydrosoluble potential. The indications, contraindications and technique of caudal epidural block are presented.

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About the authors

Nune V. Matinyan

Blokhin Russian Cancer Research Center (RCRC) of the Ministry of Health of Russia, Pediatric Oncology and Hematology Research Institute; Pirogov Russian National Research Medical University

Email: n9031990633@yandex.ru
115478, Moscow; 117997, Moscow
MD, PhD, DSc, prof., Blokhin Russian Cancer Research Center (RCRC) of the Ministry of Health of Russia, Pediatric Oncology and Hematology Research Institute, 115478, Moscow; Pediatric anesthesiology and intensive care department, Pirogov Russian National Research Medical University, 117997, Moscow, Russian Federation

D. V Zabolotski

Saint-Petersburg State Pediatric Medical University

194100, Saint-Petersburg

L. A Martynov

Blokhin Russian Cancer Research Center (RCRC) of the Ministry of Health of Russia, Pediatric Oncology and Hematology Research Institute

115478, Moscow

I. A Letyagin

Blokhin Russian Cancer Research Center (RCRC) of the Ministry of Health of Russia, Pediatric Oncology and Hematology Research Institute

115478, Moscow

References

  1. Campbell M.F. Caudal anesthesia in children. Am. J. Urol. 1933; 30:245-9.
  2. Julien F., Blebuyck M.B. Pediatric regional anesthesia. Anesthesiology. 1989; 70:324-38.
  3. BrownT.C. History of pediatric regional anesthesia. Paediatric Anaesthesia. 2012; 22(1): 3-9.
  4. Айзенберг В.Л., Ульрих Г.Э., Цыпин Л.Е., Заболотский Д.В. Регионарная анестезия в педиатрии: монография. СПб.: СинтезБук; 2012; 304 с.
  5. Khoa N.N., Heather S.B., Jonathan M.T. Caudal analgesia and cardiothoracic surgery: a look at postoperative pain scores in a pediatric population Paediatric Anaesthesia. 2016; 26 (11): 1060-1063.
  6. Kako H., Hakim M.,Kundu A. Caudal anesthesia in a patient with peritonitis: Is it safe? Saudi J. Anaesth. 2016; 10(2): 228-232.
  7. Haglund U. Systemic mediators released from the gut in critical illness. Crit. Care Med. 1993; 21: S15-8.
  8. Holt H.M., Andersen S.S., Andersen O., Gahrn-Hansen B., Siboni K. Infections following epidural catheterization. 1995 J. Hosp. Infect. 30:253-60.
  9. Jakobsen K.B., Christensen M.K., Carlsson P.S. Extradural anesthesia for repeated surgical treatment in the presence of infection. Br. J. Anaesth. 1995; 75: 536-40.
  10. Darchy B., Forceville X., Bavoux E., Soriot F., Domart Y. Clinical and bacteriologic survey of epidural analgesia in patients in the intensive care unit. Anesthesiology. 1996; 85:988-98.
  11. Lee H.J., Min J.Y., Kim H.I., Byon H.J. Measuring the depth of the caudal epidural space to prevent dural sac puncture during caudal block in children. Paediatr. Anaesth. 2017; 27(5): 540-4.
  12. Kundu R. et al. Caudal bupivacaine and morphine provides effective postoperative analgesia but does not prevent hemodynamic response to pneumoperitoneum for major laparoscopic surgeries in children. J. Anesth. 2015; 29(4):618-21.
  13. Lundblad M., Forestier J., Marhofer D., et al. Reduction of cerebral mean blood flow velocity and oxygenation after high-volume (1.5 ml kg(-)(1)) caudal block in infants. Br. J. Anaesth. 2014; 113: 688-94.
  14. Jöhr M. Regional anaesthesia in neonates, infants and children: an educational review. Eur. J. Anaesthesiol. 2015; 32(5): 289-97.
  15. Abukawa Y., Hiroki K. et al. Ultrasound versus anatomical landmarks for caudal epidural anesthesia in pediatric patients. BMC Anesthesiology. 2015; 15: 102.
  16. Мархофер П. Основы регионарной анестезии с ультразвуковой навигацией. Принципы и практическое применение. Издание второе. 2014; 236 с.
  17. MirjaliliS. A., Taghavi K., Frawley G., Craw S. Should we abandon landmark-based technique for caudal anesthesia in neonates and infants? Paediatr. Anaesth. 2015; 25(5): 511-6.
  18. WangA.C., NaiduJ.O. et al. Sonographically guided lumbar puncture in pediatric patients. J. Ultrasound. Med. 2013; 32(12): 2191-7.
  19. Aggarwal A., Sahni D., Kaur H., Batra Y.K. The caudal space in fetuses: an anatomical study. J. Anesth. 2012; 26(2): 206-12.
  20. Suresh S., Ecoffey C., Bosenberg A. et al. The European Society of Regional Anaesthesia and Pain Therapy/American Society of Regional Anesthesia and Pain Medicine Recommendations on Local Anesthetics and Adjuvants Dosage in Pediatric Regional Anesthesia. Reg. Anesth. Pain Med. 2018; 43(2): 211-16.

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