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

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.

scholarly journals CAUDAL EPIDURAL ANESTHESIA IN PEDIATRIC PATIENTS

2018 ◽  
Vol 12 (1) ◽  
pp. 55-63
Author(s):  
Nune V. Matinyan ◽  
D. V Zabolotski ◽  
L. A Martynov ◽  
I. A Letyagin
Keyword(s):  
Pediatric Anesthesia ◽  
Epidural Block ◽  
Anesthetic Technique ◽  
Success Rates ◽  
Caudal Epidural Block ◽  
Low Incidence ◽  
Upper Abdominal ◽  
Regional Anesthetic ◽  
Spectrum Of Indications ◽  
Caudal Epidural

Caudal epidural block is the most widely used regional anesthetic technique in children. Its popularity in pediatric anesthesia is mainly due to its broad spectrum of indications, high success rates, and a relative low incidence of complications. The caudal epidural block is generally used for not only lower abdominal or lower extremity surgery but also for upper abdominal surgery via administration of adjuncts such as morphine, which has hydrosoluble potential. The indications, contraindications and technique of caudal epidural block are presented.

scholarly journals Prospective observational study on caudal epidural block for transurethral resection of prostate in patients with comorbidities

2016 ◽  
Vol 3 (2) ◽  
pp. 74-79
Author(s):  
Bandana Paudel ◽  
Sumitra Paudel ◽  
Chitta Ranjan Das
Keyword(s):  
Elderly Patients ◽  
Prospective Study ◽  
Transurethral Resection ◽  
Epidural Block ◽  
Transurethral Resection Of Prostate ◽  
Caudal Epidural Block ◽  
Comorbid Diseases ◽  
American Society ◽  
A Prospective Study ◽  
Caudal Epidural

Background: The most important goal of anaesthesia for geriatric patients with comorbid diseases is to maintain normal homoeostasis of different systems during and after surgery. This prospective study was conducted to evaluate the success rate and associated complications of the caudal epidural block for transurethral resection of prostate in elderly patients with comorbid diseases.Methods: This is a prospective study of a cohort of 100 elderly patients posted for transurethral resection of prostate with comorbid diseases belonging to American Society of anaesthesiologists physical status II, III and IV over a period of 1 year from April 2015 to April 2016. Standard recommended technique for caudal epidural block was followed. Time of onset, spread, duration of analgesia, intensity of block, complications, and unwanted effects were noted.Results: The mean age was 73.5+-7.69. Eighty-two percent patients belonged to ASA III and IV grade. The majority (87%) had excellent to a good quality of anaesthesia with no motor block. 83% of patients had the onset of analgesia between 5-15 minutes and 78% had a duration between 90-130 minutes. Three patients had patchy analgesia and they were considered as a failure. No death was encountered in the study.Conclusion: Caudal epidural block is a safe, effective anaesthetic technique for transurethral resection of the prostate in elderly with comorbid diseases of other systems. 

scholarly journals Comparison of caudal and intravenous dexamethasone as adjuvants for caudal epidural block: A double blinded randomised controlled trial

2016 ◽  
Vol 60 (12) ◽  
pp. 948 ◽  
Author(s):  
Bharath Srinivasan ◽  
Rakesh Karnawat ◽  
Sadik Mohammed ◽  
Bharat Chaudhary ◽  
Anil Ratnawat ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Epidural Block ◽  
Caudal Epidural Block ◽  
Randomised Controlled ◽  
Double Blinded ◽  
Caudal Epidural

Ultrasound-Guided Caudal Epidural Block for Bilateral Testicular Ectopy and Circumcision in Child above 6 Years with Joubert Syndrome

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Fekih Hassen Amjed ◽  
◽  
Ben Fraj Asma ◽  
Blaiti Hajer ◽  
Ben Slimen Ahmed ◽  
...  
Keyword(s):  
Respiratory Control ◽  
Perioperative Period ◽  
Joubert Syndrome ◽  
Epidural Block ◽  
Opioid Use ◽  
Ultrasound Guided ◽  
Polygraphic Recordings ◽  
Caudal Epidural Block ◽  
Anesthesia Technique ◽  
Caudal Epidural

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.

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

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

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

2010 ◽  
Vol 38 (3) ◽  
pp. 525-529 ◽  
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

Congenital omphalocele in four calves, their surgical management and outcome

2016 ◽  
Author(s):  
Mujeeb Ur Rehman Fazili ◽  
Shahid Hussain Dar. ◽  
H. K. Bhattacharyya ◽  
Manzoor Ur Rehman
Keyword(s):  
Surgical Treatment ◽  
Umbilical Cord ◽  
Good Prognosis ◽  
Epidural Block ◽  
Dairy Calves ◽  
Local Infiltration Analgesia ◽  
Local Infiltration ◽  
Caudal Epidural Block ◽  
Infiltration Analgesia ◽  
Caudal Epidural

Four newborn dairy calves with omphalocele including one additionally with atresia ani and anury were presented for treatment. The mass (diameter: 12.0 and 23.0cm respectively) in two calves was covered by continuation of the umbilical cord. In the remaining two calves the covering had disrupted and the intestines were hanging from the umbilicus. Herniorrhaphy was performed under sedation using diazepam and local infiltration analgesia with lignocaine hydrochloride (2%). In the calf with atresia ani, anal opening was created under caudal epidural block. Three of the calves recovered completely and the remaining one died. It was concluded that the surgical treatment of calves with omphalocele have good prognosis provided they are presented promptly without mutilation of the mass.

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