Awake caudal anaesthesia in neonates/young infants for improved patient safety
- PMID: 28551594
- PMCID: PMC5612206
- DOI: 10.1136/bcr-2016-218500
Awake caudal anaesthesia in neonates/young infants for improved patient safety
Abstract
Caudal epidural block in a conscious infant is a recognised technique that allows the avoidance of general anaesthesia and risks associated with it. It is also technically easier to perform reliably compared with an awake subarachnoid block in skilled hands.1 While local anaesthetic systemic toxicity is a rare complication of caudal anaesthesia, this case illustrates the potential for caudal anaesthesia done awake in enhancing patient safety through early recognition of local anaesthetic systemic toxicity.
Keywords: Anaesthesia; Medical education; Paediatrics; Safety.
© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
Conflict of interest statement
Competing interests: None declared.
References
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- Morton NS. Local and regional anaesthesia in infants: table 1. Continuing Education in Anaesthesia, Critical Care & Pain 2004;4:148–51. 10.1093/bjaceaccp/mkh041 - DOI
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- Di Gregorio G, Neal JM, Rosenquist RW, et al. . Clinical presentation of local anesthetic systemic toxicity: a review of published cases, 1979 to 2009. Reg Anesth Pain Med 2010;35:181–7. - PubMed
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