Caudal block in paediatric surgery: A retrospective survey in 2262 patients
Küçük Resim Yok
Tarih
2005
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Aim: The caudal block is a common regional anaesthetic techniques in infant and children. Limited data regard complications have been reported. We reviewed the anaesthesia records of 2262 paediatric patients in whom caudal block was performed between June 1995-May 2004 in our institution and describe the associated morbidity and complications. Results: Anaesthesia was induced with inhalation agents in 1633 patients, and intravenous agents in 629 patients. Caudal blocks were obtained by administering 1 mL kg-1 of 0.25% bupivacaine in 1563 patients, 0.25% bupivacaine and 1% prilocaine in 400 patients, 0.25% bupivacaine and 0.5 mg kg-1 ketamine in 61 patients, 0.25% bupivacaine and 1 mg kg-1 fentanil in 106 patients, and 0.2% ropivacaine in 132 patients. Complications rates were not different between patients over 10 kg and ?10 kg. There were statistically significant differences regarding total complications, and subcutaneous infiltration and intravenous injection rates comparing 1-2 years residents with 2-3 years and 3-4 years residents and staff anaesthesiologists (p<0.05). Conclusion: We conclude that caudal block is an appropriate technique in paediatric patients scheduled for surgery below the umbilicus. Complication rates decrease after the first year of aneasthesia training.
Açıklama
Anahtar Kelimeler
Anaesthesia, Bupivacaine, Caudal block, Ketamine, Paediatric
Kaynak
Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
33
Sayı
5
