Clinical Investigation

Evaluation of Efficacy of Caudal Analgesia on Pediatric Surgery

  • Erdal GEZER
  • Bakiye UGUR
  • Selda SEN
  • Mustafa OGURLU
  • Osman Nuri AYDIN
  • Feray GÜRSOY

Meandros Med Dent J 2006;7(2):27-30

Objective: We aimed to retrospectively evaluate analgesic effect and complications in intraoperative and post operative periods of caudal block performed after induction of general anesthesia in 125 pediatric patients who underwent elective surgical operations on the inguinal, urogenital and rectal regions in 2006. Material and Methods: Data were collected from anesthesia monitoring forms, recovery room monitoring forms and nursing monitoring forms about demographics, types of operations, anesthetic agents used for induction and maintenance of anesthesia, types of anesthesia, types, doses and concentrations of local anesthetics used for caudal block, analgesics given in intraoperative and postoperative periods, time of analgesic administration and complications. Results: The patients were aged 1-132 months, with a mean of 41.57±38.55 months. Out of 125 patients, 118 (94.4%) were male and 7 (5.6%) female with a mean weight of 14.60±7.81 kg. Duration of anesthesia was 61.50±42.07 min in patients administered 0.25% bubivacain for caudal block. No analgesics were administered during operation and mean duration of analgesia in the postoperative period was 412.88±163.13 min. No complications were noted in the postoperative period. Conclusion: It can be concluded that caudal block decreases the need for general anesthesia in the intraoperative period and provides effective analgesia in the postoperative period in operations on the inguinal, urogenital and rectal regions.

Keywords: Caudal block, postoperative analgesia, pediatric anesthesia