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Related Experiment Videos

[The trans-sacral route. Can the technique be simplified?]

C Saint-Maurice1, A Landais, H Othmani

  • 1Département d'Anesthésie-Réanimation, Hôpital Saint-Vincent-de-Paul, Paris.

Cahiers D'Anesthesiologie
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

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The trans-sacral block, a technique in pediatric anesthesia, offers effective pain relief with minimal need for post-operative analgesics. This study found it easier to perform using a spinal needle alone, despite a few technical challenges.

Area of Science:

  • Anesthesiology
  • Pediatric Anesthesia
  • Regional Anesthesia

Context:

  • The trans-sacral block, first described in 1988, is increasingly utilized in pediatric anesthesia.
  • Performing the block using a spinal needle without a syringe may simplify the procedure by aiding in the "loss of resistance" technique.

Purpose:

  • To evaluate the efficacy and ease of performance of the trans-sacral block in pediatric patients.
  • To assess the need for postoperative analgesia following trans-sacral block anesthesia in children.

Summary:

  • The study involved 46 pediatric patients who underwent a trans-sacral block using bupivacaine 0.20% with epinephrine.
  • Four cases experienced technical difficulties, including two intrathecal placements and two failed blocks.
  • No children required analgesic treatment in the recovery room, and ward analysis focused on 46 successful cases.

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Impact:

  • The trans-sacral block demonstrates potential as an effective anesthetic technique in pediatric patients.
  • The findings suggest a simplified approach to performing the trans-sacral block may be feasible.
  • The technique appears to provide adequate postoperative pain control, reducing the need for additional analgesics.