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2000, Number 2

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Cir Gen 2000; 22 (2)

Caudal block for anorectal surger

Medina GS, Coutiño CM, Vargas CS, Luna DH
Full text How to cite this article

Language: Spanish
References: 5
Page: 112-114
PDF size: 81.26 Kb.


Key words:

Anesthesia, caudal anesthesia, colon and rectal surgery (Specialty).

ABSTRACT

Objective: To analyze the experience of the authors in the use of caudal anesthesia for anorectal surgery.
Design: Longitudinal, descriptive and observational study.
Setting: Third level health care hospital. Method: We studied consecutive patients programmed for anorectal surgery. Caudal anesthesia was used. The following variables were analyzed: Gender, number of cases per year, analgesic level obtained: excellent, incomplete, failure; morbidity.
Results: Between January 1991 and December 1998, we studied 362 patients subjected to anorectal surgery; 208 were men and 154 were women. In 337 patients (93.1%) the analgesic effect was excellent, in 18 patients (4.9%) it failed, and in 7 patients (2%) it was incomplete. Morbidity was of 1.3% (5 patients), consisting of urinary retention episodes. No deaths occurred.
Conclusion: Caudal block as anesthetic procedure for anorectal surgery is efficient and safe.


REFERENCES

  1. 1 Rawal, N. Postoperative pain management in day surgery. Anaesthesia 1998;53 (Suppl 2): 50-2.

  2. 2 Chan MT, Lam KK. Randomized comparison of agents for caudal anaesthesia in anal surgery. Br J Surg 1996; 83: 1300.

  3. 3 Goldberg SM, Gordon PH, Nivatvongs S. Essentials of anorectal surgery. 10th ed. J. B. Lippincott Co; Philadelphia: 1980: 1,389.

  4. 4 Kratzer GL, Demarest RJ. Office management of colon and rectal disease. 11th ed. W.B. Saunders Co.; Philadelphia: 1985: 1,239

  5. 5 Collins VJ. Principles of anesthesiology. 2nd ed. Lea and Febiger; Philadelphia 1976:1,670.




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Cir Gen. 2000;22