Related Experiment Video

Updated: Jul 15, 2026

Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings
14:40

Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings

Published on: October 25, 2015

[Caudal and spinal anesthesia in sub-umbilical surgery in children. Apropos of 1875 cases]

A R Aguemon1, G Terrier, A Lansade

  • 1Médecin attache, Service Polyvalent d'Anesthésie, Réanimation, Cotonou Benin.

Cahiers D'Anesthesiologie
|January 1, 1996
PubMed

Insights

Caudal and spinal anesthesia are safe and effective pediatric techniques for developing countries. These simple, low-cost regional anesthesia methods showed a less than 1% failure rate in 1875 children.

Area of Science:

  • Pediatric Anesthesiology
  • Regional Anesthesia Techniques
  • Global Health Equity

Context:

  • Caudal and spinal anesthesia are standard pediatric procedures in Europe.
  • Limited data exists on their applicability in developing nations.
  • This study addresses the feasibility of these techniques in resource-limited settings.

Purpose:

  • To evaluate the applicability and safety of caudal and spinal anesthesia in pediatric patients in developing countries.
  • To assess the efficacy and complication rates of these regional anesthesia techniques in a diverse pediatric population.

Summary:

  • A retrospective study analyzed 1875 children (1 day to 17 years) undergoing spinal or caudal anesthesia.
  • Spinal anesthesia used bupivacaine in neonates/infants; caudal anesthesia used lidocaine-bupivacaine with epinephrine in older children.
  • Both techniques demonstrated high success rates (<1% failure) and stable vital signs (heart rate, blood pressure, SpO2) during surgery.

Impact:

  • Caudal and spinal anesthesia are demonstrated as safe, effective, and low-cost options for pediatric surgery in developing countries.
  • These techniques can improve surgical access and patient outcomes in resource-limited healthcare environments.
  • Findings support the wider adoption of regional anesthesia in pediatric populations globally.

More Related Videos

Spinal Sonography for Ultrasound-Guided Lumbar Neuraxial Anesthesia03:14

Spinal Sonography for Ultrasound-Guided Lumbar Neuraxial Anesthesia

Published on: January 31, 2025

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review04:33

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

Related Concept Videos

Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...