| Abstract | The study analyses the efficacy and the safety of caudal anesthesia for the intra and postoperative pain management in children. MATERIAL AND METHOD: A retrospective study was conducted over a five years period enrolling 150 children scheduled for various surgical procedures. We used the standard technique ("loss of resistance", "single shot", lateral decubitus). RESULTS: The most important age groups were 1 month - 1 year, 64 cases (42.66%) and 1-6 years - 71 cases (47.33%). We performed 144 caudal blocks associated with general anesthesia, 3 associated with sedation and 3 simple caudal blocks. In 129 cases, we used bupivacaine 0.25% as a single analgetic substance, in five cases bupivacaine 0.25% with lidocaine 1%, and in 16 cases bupivacaine 0.25% with fentanyl 1 mcg/kg. The quality of the analgesia was very good in 128 cases (85.33%), good in 12 (8%) and poor in 10 cases (6.66%). The morbidity rate was 13.33% (20 cases), the most frequent complication being urinary retention (8 cases - 5.33%). CONCLUSIONS: The caudal block is an efficient procedure for intra and postoperative analgesia in children. Associated with general anesthesia it is very useful for the management of the age groups 1 month - 1 year and 1-6 years. |
| Authors | G S Aprodu, V Munteanu, Georgiana Filciu, D G Goţia
(Affiliation: Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi, Facultatea de Medicină, Spitalul clinic Sf. Maria" Iaşi, Clinica de Chirurgie şi Ortopedie Pediatrică.)
|
| Journal | Revista medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti din Iaş̧i
(Rev Med Chir Soc Med Nat Iasi)
2008 Jan-Mar
Vol. 112
Issue 1
Pg. 142-7
ISSN: 0300-8738 Romania |
| Vernacular Title | Anestezia caudală in chirurgia pediatrică. Experienţa noastră pe 150 de cazuri. |
| PMID | 18677919
(Publication Type: English Abstract, Journal Article)
|
| Chemical References |
- Adjuvants, Anesthesia
- Anesthetics, Local
- Lidocaine
- Bupivacaine
- Fentanyl
|
| Topics |
- Abdominal Wall
(surgery)
- Adjuvants, Anesthesia
(administration & dosage, adverse effects)
- Anesthesia, Caudal
(methods)
- Anesthetics, Local
(administration & dosage, adverse effects)
- Bupivacaine
(administration & dosage, adverse effects)
- Child
- Child, Preschool
- Drug Therapy, Combination
- Female
- Fentanyl
(administration & dosage, adverse effects)
- Humans
- Infant
- Infant, Newborn
- Lidocaine
(administration & dosage, adverse effects)
- Male
- Musculoskeletal Diseases
(surgery)
- Pain, Postoperative
(prevention & control)
- Retrospective Studies
|
