Bloqueio peridural caudal: técnica anestésica de uso exclusivo em crianças? É possível sua realização em adultos? Qual o papel do ultrassom nesse contexto?

Abstract

Summary: Najman ie, Frederico tN, Segurado AvR, Kimachi PP -caudal epidural Anesthesia: An Anesthetic technique exclusive for Pediatric Use? is it Possible to Use it in Adults? what is the Role of the Ultrasound in this context? Background and objectives: caudal epidural anesthesia is the most popular regional anesthesia technique used in children. with advanced age, only the relative difficulty in localizing the sacral hiatus limits its use. However, in adults this technique has been widely used to control chronic pain by adjuvant use of fluoroscopy. thus, the ability to locate the hiatus and define anatomical variations is the main determinant of the success and safety of caudal epidural anesthesia. in this context, the use of the ultrasound in caudal epidural anesthesia has been increasing. the objective of this review was to determine the role of the ultrasound in caudal epidural anesthesia and to demonstrate that this technique, widely used in children, is also useful and can be used in adults.