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[Caudal epidural block in children during catheter cerebral angiography (author's transl)]
Anasthesie, Intensivtherapie, Notfallmedizin
|February 1, 1980
Insights
Caudal epidural block is a safe and easy procedure for pediatric panangiography. This technique effectively minimizes circulatory risks in the femoral artery, with rapid circulation recovery in most young patients.
Area of Science:
- Pediatric Anesthesiology
- Vascular Imaging
- Regional Anesthesia
Context:
- Panangiography in children requires careful anesthetic management.
- Potential for circulatory compromise exists with femoral artery catheterization.
Purpose:
- To evaluate the safety and efficacy of caudal epidural block for pediatric panangiography.
- To assess the impact of caudal epidural block on femoral artery circulation.
Summary:
- Nineteen pediatric patients (9 months–13 years) underwent panangiography using caudal epidural block.
- The sympatholytic effect of the block reduced circulatory disturbances in the catheterized femoral artery.
- Circulation returned to normal within 1-3 hours in all patients.
Impact:
- Caudal epidural block offers a safe and effective anesthetic option for pediatric panangiography.
- This technique mitigates risks associated with femoral artery catheterization in children.
- Demonstrates rapid and complete circulatory recovery post-procedure.
Abstract:
Nineteen panangiographies under caudal epidural block were performed in children between 9 months and 13 years. It is stated that the sympatholytic action of caudal epidural block diminishes the risk of circulatory disturbances in the catheterised femoral artery. The performance of caudal block in children is easy and safe. The circulation in the affected limb returned to normal in one child during 3 hours, in the remaining 18 during 1 hour.