scholarly journals Transient bladder incontinence following ultrasound guided caudal epidural block

2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Preethipriyadharshini Rajasekaran ◽  
Prasanna Vadhanan C ◽  
Nikhilesh Bokka

Caudal anesthesia is commonly used a regional anesthesia technique for sub-umbilical surgeries in pediatrics and for chronic pain management in adults. Ultrasound guided caudal epidural block improves the success rate with minimizes complications. We report a patient who underwent lateral sphincterotomy under ultrasound guided caudal epidural anesthesia and developed transient urinary incontinence with prolonged perineal sensory loss postoperatively. Key words: Anesthesia, Caudal epidural, Ultrasound. Citation: Preethipriyadharshini R, Vadhanan CP, Bokka N. Transient bladder incontinence following ultrasound   guided caudal epidural block. Anaesth. pain intensive care 2021;25(1):102–104; DOI: 10.35975/apic.v25i1.1437 Received: 17 October 2020; Reviewed: 4 November 2020; Accepted: 5 December 2020

Author(s):  
Fekih Hassen Amjed ◽  
◽  
Ben Fraj Asma ◽  
Blaiti Hajer ◽  
Ben Slimen Ahmed ◽  
...  

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.


2000 ◽  
Vol 17 (Supplement 19) ◽  
pp. 183
Author(s):  
J. H. Vranken ◽  
E. W.F. Lycklama ◽  
S. F. Ter Riet ◽  
A. M. Sassen ◽  
W. W.A. Zuurmond

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