[Trans-sacral extradural anesthesia in pediatrics]

Area of Science:

• Anesthesiology
• Regional Anesthesia Techniques

Context:

• Extradural anesthesia is a common regional anesthesia technique.
• Transsacral and lumbosacral routes are utilized for extradural anesthesia.
• Mepivacaine is a frequently used local anesthetic for these procedures.

Purpose:

• To assess the efficacy and safety of extradural anesthesia via transsacral or lumbosacral routes.
• To determine the failure and complication rates associated with mepivacaine-based extradural anesthesia.
• To evaluate the suitability of this technique across various surgical specialties.

Summary:

• A total of 1,714 extradural anesthesias were performed between 1988 and 1991 using 1% mepivacaine.
• Procedures included transsacral (1,308 cases) and lumbosacral (406 cases) approaches.
• Anesthesia was primarily for urogenital surgery, but also for orthopedic, abdominal, and thoracic procedures.
• There were 12 failures (0.7%) and 42 total complications (2.47%), with no serious adverse events reported.

Impact:

• Demonstrates the safety and effectiveness of transsacral and lumbosacral extradural anesthesia with mepivacaine.
• Provides valuable data for anesthesiologists considering these techniques for diverse surgical interventions.
• Highlights a low incidence of complications, supporting its use in clinical practice.