Combined caudal anesthesia in endourological operations in infants

Authors

  • M. Yu. Kurochkin

DOI:

https://doi.org/10.14739/2310-1237.2015.2.50811

Keywords:

Caudal Anesthesia, Child, Endoscopy, Urology

Abstract

In pediatric practice caudal anesthesia is increasingly being used as a component of combined anesthesia.

Aim. To determine the feasibility and benefits of the combined-caudal epidural anesthesia in anesthesiology maintenance of endourological surgery in young children,

Methods and results. In 35 patients aged from 4 months to 2 years, the study of hemodynamics and cortisol level in blood serum during endoscopic correction of vesicoureteral reflux was conducted. It was found that there were more stable hemodynamic and cortisol levels during the combined anesthesia with caudal epidural block than in the case of traditional intravenous anesthesia.

Conclusion. This demonstrates the significant benefits of anesthesia with the caudal block usage.

References

Ramfell, D. P., Nil, D. M. & Viskoumi, K. M. (2007) Regionarnaya anesteziya [Regional anesthesia]. Мoscow: Medpress-Inform. [in Russian].

Bettesworth, J., Bhalla, T., Barry, N., & Tobias, J. D. (2012). Changes in tissue oxygenation following caudal epidural blockade in infants and children. Paediatr Anesth., 22(11), 1068–1071. doi: 10.1111/j.1460-9592.2012.03925.x.

Gandhi, M., & Vashisht, R. (2010). Anaesthesia for paediatric urology. Сontin Educ Anaesth Crit Care Pain, 10(5), 152–157. doi: 10.1093/bjaceaccp/mkq025.

Geze, S., Imamoğlu, M., & Cekic, B. (2011). Awake caudal anesthesia for inguinal hernia operations: successful use in low birth weight neonates. Anaesthesist, 60(9), 841–844. doi: 10.1007/s00101-011-1913-0.

Maitra, S., Baidya, D. K., Pawar, D. K., Arora, M. K., & Khanna, P. (2014). Epidural anesthesia and analgesia in the neonate: a review of current evidences. J Anesth, 28(5), 768–779. doi: 10.1007/s00540-014-1796-8.

Morrison, K., Herbst, K., Corbett, S., & Herndon, C. D. (2014). Pain management practice patterns for common pediatric urology procedures. Urology, 83(1), 206–210. doi: 10.1016/j.urology.2013.08.041.

Polaner, D. M., Taenzer, A. H., Walker, B. J. Bosenber, A., Krane, E. J., Suresh, S., et al. (2012). Pediatric Regional Anesthesia Network (PRAN): multi-institutional study of the use and incidence of complications of pediatric regional anesthesia. Anesth Analg, 115(6), 1353–1364. doi: 10.1213/ANE.0b013e31825d9f4b.

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How to Cite

1.
Kurochkin MY. Combined caudal anesthesia in endourological operations in infants. Pathologia [Internet]. 2015Oct.8 [cited 2024Apr.19];(2). Available from: http://pat.zsmu.edu.ua/article/view/50811

Issue

No. 2 (2015)

Section

Original research

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