Caudal anaesthesia

Caudal anaesthesia
Canal block showing needle puncture over sacral area with the patient in the lateral position

Caudal anaesthesia (or caudal anesthesia) is a form of neuraxial regional anaesthesia conducted by accessing the epidural space via the sacral hiatus. It is typically used in paediatrics to provide peri- and post-operative analgesia for surgeries below the umbilicus. In adults, it can be used in the context of anorectal surgery or for chronic low back pain management.[1][2]

It can be used as an alternative to general anaesthesia or as adjunct to it.[3]

  1. ^ Butterworth, John F.; Mackey, David C.; Wasnick, John D. (2022). Morgan & Mikhail's Clinical Anesthesiology (7th ed.). McGraw Hill. pp. 995–996. ISBN 978-1-260-47379-7.
  2. ^ Dernek B, Aydoğmuş S, Ulusoy İ, Duymuş TM, Ersoy S, Kesiktaş FN, et al. (2022). "Caudal epidural steroid injection for chronic low back pain: A prospective analysis of 107 patients". Journal of Back and Musculoskeletal Rehabilitation. 35 (1): 135–139. doi:10.3233/BMR-200262. PMID 34151825. S2CID 235492058.
  3. ^ Wiegele M, Marhofer P, Lönnqvist PA (April 2019). "Caudal epidural blocks in paediatric patients: a review and practical considerations". British Journal of Anaesthesia. 122 (4): 509–517. doi:10.1016/j.bja.2018.11.030. PMC 6435837. PMID 30857607.
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