Online ISSN: 2515-8260

Determination of optimal angle of needle insertion for successful caudal block in pediatric patients by comparing conventional method versus ultrasound guided method: A randomized comparative experimental study

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Dr. Ajay BC, Dr. Hulakund SY, Dr. Tanuja KS, Dr. Anilkumar Ganeshnavar, Dr. Harini Jalapati, Dr. Thapi Srija, Dr. Nishanth D

Abstract

The benefits of regional anaesthesia in children are well documented. These include attenuation of the stress response, reduced opioid requirement and therefore reduction in associated side effects, improved postoperative analgesia, and earlier extubation. Caudal epidural block is one of the most common regional techniques in paediatric anesthesia. Caudal block is safe and reliable technique, easy to perform and has been found to be very effective in children, especially in infra-umbilical surgeries when combined with general anaesthesia. This study included 72 children, of both genders, coming for various elective infra-umbilical surgical procedures such as herniotomy, orchidopexy, circumcision etc. Ethical clearance from institutional ethical committee was obtained. Informed consent was obtained from the parents before including the children in the study. Optimal calculated needle angle for successful caudal block was 28.14±4.03 degrees in Group A, 19.22±2.78 degrees in Group B, which was statistically significant. Needling time or procedural time for successful caudal block was 5.97±1.32 seconds in Group A, 14.25±2.93 seconds in Group B, which was statistically significant

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