Continuous Caudal Catheters in Neonatal Population: A Focussed Review

Vol 2 | Issue 2 | July-December 2021 | Page 124-130 | Vrushali Ponde, Kriti Puri, Nandini Dave

DOI: 10.13107/ijra.2021.v02i02.040

Authors: Vrushali Ponde [1], Kriti Puri [2], Nandini Dave [3]

[1] Department of Anaesthesia, Surya Children Anaesthesia Services, Mumbai, Maharashtra, India.
[2] Department of Anaesthesia, Ganga Hospital, Coimbatore, Tamil Nadu, India.
[3] Department of Anaesthesia, NH SRCC Children’s Hospital, Mumbai, Maharashtra, India.

Address of Correspondence
Dr. Vrushali Ponde,
Consultant Paediatric Anaesthesiologist, Surya Children Anaesthesia Services, Mumbai, Maharashtra, India.
E-mail: vrushaliponde@yahoo.co.in

Abstract

Caudal epidural block is one of the most commonly administered blocks in paediatric population. Continuous caudal technique offers several advantages like its ability to cater to long duration surgeries, higher thoracic procedures and to deliver extended, titratable post-operative pain relief. Current advances in this technique like use of fluoroscopy, electrical stimulation and Ultrasound to secure continuous caudal catheters facilitate enhanced accuracy and safety and should be adopted wherever feasible. An understanding of local anaesthetic dosages for infusion and their fine tuning is a prerequisite. The potential benefits and risks should be assessed on a case-to-case bases
Keywords: Caudal anaesthesia, Post-operative pain, Neonatal regional anaesthesia

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