Journal article
Caudal anesthesia in a patient with peritonitis: Is it safe
Saudi journal of anaesthesia, Vol.10(2), pp.228-232
04/01/2016
DOI: 10.4103/1658-354X.168826
PMID: 27051378
Abstract
Neuraxial anesthesia combined with general anesthesia has become a widely accepted method of providing effective postoperative analgesia and decreasing intraoperative anesthetic needs in the pediatric population. In clinical practice, there still appears to be hesitancy for the use of a neuraxial technique (spinal or epidural) in patients at risk for bacteremia or with an on-going systemic infection. However, evidence-based medicine lacks any data to support an increase in the risk of infectious complications following neuraxial anesthesia. We present two pediatric patients with intra-abdominal infectious processes who received caudal epidural blockade for postoperative operative analgesia. The use of neuraxial techniques in patients at risk for bacteremia is reviewed, evidence-based medicine regarding the risks of infection discussed, and the potential favorable effects of neuraxial blockade on the neurohumoral response to sepsis and the systemic inflammatory responses presented.
Details
- Title: Subtitle
- Caudal anesthesia in a patient with peritonitis: Is it safe
- Creators
- H. Kako - Nationwide Children's HospitalM. Hakim - Nationwide Children's HospitalA. Kundu - Nationwide Children's HospitalJ. D. Tobias - Nationwide Children's Hospital
- Resource Type
- Journal article
- Publication Details
- Saudi journal of anaesthesia, Vol.10(2), pp.228-232
- DOI
- 10.4103/1658-354X.168826
- PMID
- 27051378
- NLM abbreviation
- Saudi J Anaesth
- ISSN
- 1658-354X
- eISSN
- 0975-3125
- Number of pages
- 5
- Language
- English
- Date published
- 04/01/2016
- Academic Unit
- Anesthesia
- Record Identifier
- 9985177940202771
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