Combined spinal‐epidural ultrasound‐guided caudal block in an infant

Abstract

Neuraxial blockade is a useful technique in the paediatric population, particularly in cases where the risks of other anaesthetic techniques outweigh their benefits. Ultrasound-guided approaches are becoming more popular than established classical techniques. In paediatrics, the development of new approaches to neuraxial techniques have been slow and their contribution yet to be demonstrated in prospective studies. We describe a successful case related to surgery on an infant with Crouzon syndrome, in which we used a new combined ultrasound-guided block.

Ultrasound-guided caudal approach to combined spinal-epidural for major abdominal surgery in high risk premature newborns

“…With this successful case, we consider that combined spinal-epidural anesthesia might be considered a viable alternative to general anesthesia for abdominal procedures in ex-premature infant, as it adds positive consistency to previous reports of successful spinal-epidural ultrasound-guided caudal blocks for abdominal surgery [2].…”