Villegas GRM, Ríos AY, Mejía TGE

Language: Spanish
References: 9
Page: 8-11
PDF size: 56.47 Kb.

ABSTRACT

Introduction: The caudal epidural anesthesia one of regional the anesthesia techniques but commonly used for pediatrics surgery, by this we realized a retrospective study of the security and effectiveness of this technique as well as of the use of an association of the two anesthetic premises. Material and methods: Retrospective study of 10 years of duration where the following variables were studied: Stability haemodynamics, blockade motor, analgesia transoperative, adverse effect, complications, latency and anesthetic duration, in pediatrics patients who applied caudal epidural anesthesia. Results: 925 procedures in patients of 0 to 7 years of age, complications that appeared Blockade Bankrupt 73 patients (7.89%), Blockade insufficient in 12 patients (1.29). In the 90.82% of the patients the blockade was successful. Latency time was 9.18 ± 2.14 min. Anesthetic duration was of 135 ± 23.2 min. All the patients behaved haemodynamics stable. Conclusion: The association of lidocaine with bupivacaine represents an excellent option in pediatric patients because it is safe and effective, besides providing suitable analgesic transoperative, the toxicity risk is diminished because the doses of each anesthetic premises are diminished, diminishes the latency time and in addition the time of blockade extends.

REFERENCES

1. Dalens B, Hasnaoui A. Caudal anesthesia in pediatric surgery. Anesth Analg 1989; 68: 83-89.

2. Tsui B, Fredrickson M, Suresh S. Pediatric epidural and caudal analgesia and anesthesia. In: Hadzic A. Textbook of regional anesthesia and acute pain management. Ed. McGraw-Hill USA 2007: 727-745.

3. Tsui B, Berde C. Caudal analgesia and anesthesia techniques in children. Curr Opin Anaesthesiol 2005; 18: 283-8.

4. Suresh S, Bosenberg T. Regional anesthesia for pediatric orthopaedic surgery. In: Boezaart A. Anesthesia and orthopaedic surgery. Ed. McGraw-Hill USA 2006: 366-402.

5. Almenrader N, Passariello M, D’amico G. Caudal additives for postoperative pain management in children ketamine and neostigmine. Paediatr Anaesth 2004; 14: 143-47.

6. Asermino M, Basu R, Vandebeek CM. Nonopioid additives to local anaesthesic for caudal blockade in children a systematic review. Paediatric Anaesthesia 2003; 13: 561-73.

7. Takasaki M, Dohi S, Kawabata Y, Tayasashi T. Dosage of lidocaine for caudal anaesthesia in infants and children. Anesthesiology 1977; 47: 527-29.

8. Bosenberg A, Thomas J. The efficacy of caudal ropivacaine 1, 2, 3 mg/kg for postoperative analgesia in children. Paediatr Anaesth 2002; 12: 53-58.

9. Broadman L, Hannalah R, Norden R, Mcgill W. Kiddie caudals experience with 1,154 consecutive cases without complications. Anesth Analg 1987; 66: 818.