A survey of pediatric caudal extradural anesthesia practice

Menzies, Robert D.; Congreve, Kate; Herodes, V.; Berg, Simon; Mason, D. G.

doi:10.1111/j.1460-9592.2009.03116.x

Cited by 56 publications

(42 citation statements)

References 55 publications

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“…Eine Umfrage bei der Association of Paediatric Anaesthetists of Great Britain and Ireland (APAGBI, [29]) ergab, dass von den Durchführenden für die Punktion eine Venenkanüle (69,7%) favorisiert wird, gefolgt von Hohlnadeln (16,2%) und Nadeln mit Stilett (14,1%). Eine mögliche Verschleppung von epidermalem Gewebe wurde mehrheitlich (91,5%) als nichtwahrscheinlich bezeichnet.…”

Section: Methodsunclassified

“…Es gibt keinen Fallbericht, der über einen Epidermoidtumor im Zusammenhang mit einer vorgängi-gen Kaudalanästhesie berichtet. Hinsichtlich der Nadelgröße wurden 22-G-Modelle am häufigsten (68,6%) verwendet, gefolgt von 20 G (17,6%), 24 G (10,5%) und 18 G (3,2%, [29]). …”

Section: Methodsunclassified

“…1) ist Standard. Ultraschall, wie erwähnt, wird selten [29] und in unklaren Situationen eingesetzt [4,21]. Nach Perforation des Lig.…”

Section: Punktionunclassified

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Kaudalanästhesie bei Kindern

Mauch

Weiß

2012

Anaesthesist

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Caudal block is a safe procedure commonly used for pediatric perioperative analgesia. Complications are extremely rare but nevertheless local and systemic contraindications must be excluded. Optimal safety and quality result when strict attention is paid to technical details. These are discussed in detail in this review. A local anesthetic (LA) containing epinephrine allows early detection of inadvertent intravascular LA administration; therefore an epinephrine/LA mixture is recommended at least for the test dose. In terms of safety the choice of LA itself is probably of secondary importance. Clonidine as an adjuvant has an excellent risk/benefit profile with minimal side effects. Inadvertent systemic LA intoxication is a rare but potentially fatal complication of regional anesthesia and measures for prevention and early detection are essential. Should circulatory arrest occur, immediate resuscitation following standard guidelines is to be initiated including the use of epinephrine as the first line drug. Intravenous administration of lipid solutions may be beneficial as a secondary adjunct to stabilize hemodynamics but is not an alternative to epinephrine.

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Section: Methodsunclassified

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Kaudalanästhesie bei Kindern

Mauch

Weiß

2012

Anaesthesist

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“…That the S-enantiomer levobupivacaine is thought to have a superior safety profile, with a reduced local anesthetic toxicity, may explain the recent increase in its use in the UK (14). Surveys of UK pediatric anesthetists have shown a decrease in the use of racemic bupivacaine, from 94% in 2002 to 43.4% in 2009, with 41.7% of UK pediatric anesthesiologists now using levobupivacaine for caudal analgesia (15,16). The efficacy of levobupivacaine in caudals has been proven by Frawley (17).…”

Section: Discussionmentioning

confidence: 99%

Caudal Additives Do Not Improve the Analgesia Afforded by Levobupivacaine After Hypospadias Repair

2012

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“…41.7% of UK paediatric anaesthesiologists now using levobupivacaine for caudal analgesia with decrease in the use of racemic bupivacaine from 94% in 2002 to 43.4% in 2009 [16,17].…”

Section: Discussionmentioning

confidence: 99%