The dose of caudal epidural analgesia and duration of postoperative analgesia

Plasma bupivacaine concentrations were measured in 45 children, whose ages ranged from 4 months to 12 years, following administration of caudal epidural analgesia. Using 3 mg/kg of bupivacaine 0.25%, mean blood levels of 1.2-1.4 μg/ml were reached, which are well within the limits of projected toxic levels. Simultaneous arterial and venous sampling showed a small but significant difference between these two sampling sites for the first fifteen minutes.

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Outcomes after single injection caudal epidural versus continuous infusion epidural via caudal approach for postoperative analgesia in infants and children undergoing patent ductus arteriosus ligation

Pediatric Anesthesia ◽

10.1046/j.1460-9592.1999.9220313.x ◽

1999 ◽

Vol 9 (2) ◽

pp. 139-143 ◽

Cited By ~ 11

Author(s):

YUAN-CHI LIN ◽

SANDRA K. SENTIVANY-COLLINS ◽

KRISTI L. PETERSON ◽

M. GAIL BOLTZ ◽

ELLIOT J. KRANE

Keyword(s):

Patent Ductus Arteriosus ◽

Continuous Infusion ◽

Postoperative Analgesia ◽

Single Injection ◽

Ductus Arteriosus ◽

Infants And Children ◽

Caudal Approach ◽

In Infants And Children ◽

Caudal Epidural ◽

Patent Ductus

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Caudal epidural analgesia in lumbosciatic pain

Anaesthesia ◽

10.1111/j.1365-2044.1970.tb00219.x ◽

1970 ◽

Vol 25 (3) ◽

pp. 346-348 ◽

Cited By ~ 7

Author(s):

Pamela Daly

Keyword(s):

Epidural Analgesia ◽

Caudal Epidural

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Collapse in a mare during standing sedation with a fatal outcome

Veterinary Record Case Reports ◽

10.1136/vetreccr-2019-000829 ◽

2020 ◽

Vol 8 (1) ◽

pp. e000829

Author(s):

Maria Valentina Carrozzo ◽

Barbara Ambros

Keyword(s):

Veterinary Medicine ◽

Epidural Analgesia ◽

Fatal Outcome ◽

Epidural Injection ◽

Total Intravenous Anaesthesia ◽

Pressure Measurements ◽

Normal Muscle ◽

Intravenous Anaesthesia ◽

The Right ◽

Caudal Epidural

A 6-year-old 559-kg Canadian Warmblood mare with lacerations over the neck and all four limbs was presented to the Western College Veterinary Medicine. Medical treatment and wound lavage was carried out for 5 days with no clinical improvement. Ultrasonography of the gluteal region showed disruption of normal muscle architecture, predominantly on the right side. A diagnosis of compartmental syndrome was confirmed with intracompartment pressure measurements. Fasciotomy of the semimembranosus and tendinosus muscles was elected. Standing sedation was achieved with intermittent boluses of butorphanol and detomidine, and caudal epidural analgesia was performed with 13 mL of lidocaine 2 per cent. Forty minutes after the epidural injection, the mare became ataxic and fell. The horse was anaesthetised with ketamine and diazepam followed by total intravenous anaesthesia until the effects of the epidural lidocaine were presumed to have resolved. In recovery, the mare was unable to stand. The owner elected humane euthanasia.

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