Incidence of urethrocutaneous fistula following distal hypospadias repair with and without caudal epidural block: A randomized pilot Study

Background: Abnormal respiratory control has been clearly documented in infants and children with Joubert Syndrome (JS) by polygraphic recordings, characterized by episodes of apnea, tachypnea, and/or hyperpnea and the risk of recurrence of these episodes increase probably in perioperative period. In those cases, the choice of anesthesia technique and postoperative pain protocol, constitute a challenge for anesthesiologists. Case: We describe a case of successful ultrasound-guided Caudal Epidural Block (CEB) for children above 6 years with Joubert Syndrome undergoing bilateral testicular ectopy and circumcision avoiding opioid-use. Conclusions: Despite the difficulty to achieve CEB in child above 6 years, the ultrasound-guided can increase the success providing effective analgesia in-patient with a high-risk of respiratory failure as child with JS.

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Vasovagal Syncope during a Caudal Epidural Block in a Patient with Vertebral Fractures: A case report

Korean Journal of Anesthesiology ◽

10.4097/kjae.2001.41.3.383 ◽

2001 ◽

Vol 41 (3) ◽

pp. 383

Author(s):

Jun Hak Lee ◽

Soo Jong Lee ◽

Sang Cheol Park ◽

Chae Sik Yun ◽

Ki Nam Lee ◽

...

Keyword(s):

Case Report ◽

Vertebral Fractures ◽

Vasovagal Syncope ◽

Epidural Block ◽

Caudal Epidural Block ◽

Caudal Epidural

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Caudal Epidural Block in Children: Comparison of Needle Insertion Parallel with Caudal Canal versus Conventional Two-Step Technique

Anaesthesia and Intensive Care ◽

10.1177/0310057x1003800318 ◽

2010 ◽

Vol 38 (3) ◽

pp. 525-529 ◽

Cited By ~ 2

Author(s):

K.-M. Shin ◽

J.-H. Park ◽

H.-K. Kil ◽

S.-S. Kang ◽

I.-S. Kim ◽

...

Keyword(s):

Needle Insertion ◽

Epidural Block ◽

Caudal Epidural Block ◽

Caudal Epidural

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Caudal Epidural Block for Ureteroscopic Lithotripsy (Ursl): A Prospective Study

Birat Journal of Health Sciences ◽

10.3126/bjhs.v5i1.29630 ◽

2020 ◽

Vol 5 (1) ◽

pp. 942-945

Author(s):

Rupak Bhattarai ◽

Bandana Paudel ◽

Sangeeta Subba ◽

Chitta Ranjan Das

Keyword(s):

College Teaching ◽

Sensory Block ◽

Epidural Block ◽

Anesthetic Technique ◽

Ureteroscopic Lithotripsy ◽

Caudal Anesthesia ◽

Duration Of Surgery ◽

Caudal Epidural Block ◽

A Prospective Study ◽

Caudal Epidural

Introduction: Ureteroscopic lithotripsy (URSL) is the surgical treatment of choice for ureter stones. There are lots of anesthetic considerations for removal of such stones. Generally, ureteroscopic lithotripsy are done under general anesthesia and spinal anesthesia. Objectives: The purpose of this study is to assess whether ureteroscopic lithotripsy can be done under caudal anesthesia. Methodology: This prospective observational study was conducted in Nobel Medical college Teaching hospital, Nepal over a period of one and half year from May 2018 to October 2019. All the 100 patients posted for ureteroscopic lithotripsy was given caudal anesthesia. Location of stone, duration of surgery, time of onset of caudal anesthesia, time and level of maximum block spread, Intensity of block was assessed. Result: Out of 100 patients, 56 were male and 44 were female. The mean age and weight was 58±13.182 and 62±18.42 respectively. Time of onset of sensory block, 26 patients in 0- 5 minutes, 26 patients in 5-10 minutes, 56 patients in 10-15 minutes, 12 patients in 15-20 minutes, 4 patients in 20-25 minutes & 2 patients in more than 25 minutes. Maximum spread of block was seen at T6 level in 4 patients, at T8 level in 36 patients and at T10 level in 56 patients. Conclusion: Caudal epidural block is a safe, effective anesthetic technique for ureteroscopic lithotripsy.

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