Anaes SAQs · Neuraxial anaesthesia
Caudal epidural anaesthesia — the paediatric workhorse
Final-viva question on the caudal block: the sacral-hiatus anatomy and the dural termination at S2, the needle angle and the aspiration test, the dosing and adjuvants, the indications, and the complications (intravascular/intrathecal injection, infection) set against the newer erector spinae plane blocks.
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Prompt
Describe the anatomy, the technique and the complications of the caudal epidural block, and its place in modern paediatric practice.
Question
Describe the anatomy, the technique and the complications of the caudal epidural block, and its place in modern paediatric practice[1][2].
References4ShowHide
- [1]Hasoon J, Abd-Elsayed A, Viswanath O, et al. The Utility of Caudal Epidural Steroid Injections: A Comprehensive Review. Orthop Rev (Pavia), 2026.PMID 42299144
- [2]Agarwal S, Agrawal S, Kamal G, et al. A comparative study of clonidine and dexmedetomidine as an adjuvant to levobupivacaine for caudal analgesia in children undergoing below umbilical surgeries: A randomized double-blind controlled trial. Agri, 2026.PMID 41609323
- [5]Masiero BB, Lombardi RA Response to Letter to the Editor: Erector spinae plane block versus caudal block in children: similar analgesia, different stories beneath the surface. Braz J Anesthesiol, 2026.PMID 42331224
- [6]Kankal S, Bozdana M, Turan Eİ, et al. Comparison of sacral erector spinae plane block and caudal epidural block for postoperative analgesia in pediatric hypospadias surgery: a prospective observational study. Perioper Med (Lond), 2026.PMID 42265792